Pancho - AVA-ROC-81

Code: AVA-ROC-81
Mercy ID: V-00312-11
Encounter Date: 10/24/2001
Last: Avalos
First: Rocio
DOB: 11/12/1981
County: Gwinnett
Street: 2561 Valley Dr.
City: Norcross
State: GA

Zip

30071-

Home

(770) 242-8487

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

some high school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Rosa Mancha	03/04/1960	Mexico
Father	Melton Avalos	04/01/1958	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
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: Y. Garcia
Data Entry: K. Aleman