Pancho - AVI-ELI-94

Code: AVI-ELI-94
Mercy ID: V-00242-21
Encounter Date: 06/21/2000
Last: Avila
First: Eliseo
DOB: 03/11/1994
County: Dekalb
Street: 3506 Buford Hwy Apt. IE2
City: Atlanta
State: GA

Zip

30329-

Home

(404) 327-9871

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Graciela Arizmendi	06/07/1962	Mexico
Father	Eliseo Avila	09/03/1971	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Montclair
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: K. Aleman
Data Entry: K. Aleman