Pancho - VAL-ROD-95

Code: VAL-ROD-95
Mercy ID: V-00203-21
Encounter Date: 01/08/2003
Last: Valencia
First: Rodrigo
DOB: 09/22/1995
County: Dekalb
Street: 3516 Buford Hwy #8
City: Atlanta
State: GA

Zip

30329-

Home

(404) 982-0966

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Irma Valencia	12/23/1967	Mexico
Father	Rodrigo Seida	N/A	Mexico
Step Parent	Juan Carlos Leyva	N/A	Cuba

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Montclair Elementary
Grade: 1st.
Who Can't Pickup the Child
Authoritation Parent: No
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: Y. Garcia
Data Entry: K. Aleman