Pancho - SIL-ALE-98

Code: SIL-ALE-98
Mercy ID: V-00252-21
Encounter Date: 03/09/2004
Last: Silveira
First: Alex
DOB: 06/30/1998
County: Cobb
Street: 2401 Windy Hill Rd. #P
City: Marietta
State: GA

Zip

30067-

Home

(770) 572-8958

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Other

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Alicia Riveron	05/16/1962	Uruguay
Father	N/A	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
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: K. Aleman