Pancho - ALB-MAR-90

Code: ALB-MAR-90
Mercy ID: V-00005-11
Encounter Date: 02/16/2000
Last: Albiter
First: Maria
DOB: 05/17/1990
County: Dekalb
Street: 130 surrey cir Apt-4
City: Chamblee
State: GA

Zip

30341-

Home

(770) 220-0461

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	guadalupe bautista	12/12/1969	Mexico
Father	pedro albiter	07/29/1964	Mexico
Step Parent	N/A	N/A	N/A

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

Intake: J. Manzo
Data Entry: D. Gomez