Pancho - CAR-ROS-00

Code: CAR-ROS-00
Mercy ID: V-00439-21
Encounter Date: 03/07/2001
Last: Carbajal
First: Rosendo jr
DOB: 10/07/2000
County: Fulton
Street: 6915 Roswell Rd. Apt. D
City: Atlanta
State: GA

Zip

30328-

Home

(770) 396-1157

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Haydee Maldonado	02/10/1977	Mexico
Father	Rosendo Carbajal	N/A	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: K. Aleman
Data Entry: K. Aleman