Pancho - RIO-YES-01

Code: RIO-YES-01
Mercy ID: V-03365-11
Encounter Date: 07/21/2010
Last: Rios
First: Yesenia
DOB: 06/15/2001
County: Dekalb
Street: 5044 Donnell Way
City: Decatur
State: GA

Zip

30035-

Cell

(678) 508-3319

Family Status

Child/Youth

COB

USA

Gender

Female Child

Housing

Single Family

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Hanifah Rios	01/03/1971	USA
Father	Dario Rios	12/03/1971	Honduras
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Midway School
Grade: 4th.
Who Can't Pickup the Child
Authoritation Parent: YES
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: Volunteer
Data Entry: J. Manzo