Pancho - BEL-CAR-89

Code: BEL-CAR-89
Mercy ID: V-00233-41
Encounter Date: 07/05/2000
Last: Bello
First: Carlos
DOB: 02/04/1989
County: Fulton
Street: 1505 Chatahooche Ave.
City: Atlanta
State: GA

Zip

30318-

Home

(404) 351-7104

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	Maria de la Paz	01/03/1948	Mexico
Father	Antonio Bello	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: N/A
Name of School: N/A
Grade: N/A
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: K. Aleman
Data Entry: Y. Garcia