Pancho - BAI-VAL-98

Code: BAI-VAL-98
Mercy ID: V-03343-11
Encounter Date: 06/16/2010
Last: Bailon
First: Valentina
DOB: 10/20/1998
County: Dekalb
Street: 2285 Plaster Rd. Apt 7
City: Atlanta
State: GA

Zip

30345-

Cell

(678) 237-6622

Family Status

Child/Youth

COB

Mexico

Gender

Female Child

Housing

Single Family

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Nelida Baltazar	10/31/1978	Mexico
Father	Filemon Bailon	12/17/1974	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Dresden Elem
Grade: 6th.
Who Can't Pickup the Child
Authoritation Parent: YES
Authoritation Child: No
DOY PERMISO: YES
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: C. Martinez
Data Entry: J. Manzo