Pancho - GAR-JOV-94

Code: GAR-JOV-94
Mercy ID: V-00466-21
Encounter Date: 11/17/2004
Last: Garcia
First: Jovani
DOB: 04/12/1994
County: Dekalb
Street: 1850 Tobey Rd.
City: Chamblee
State: GA

Zip

30341-

Home

(770) 873-0242

Family Status

Child/Youth

COB

Mexico

Gender

Male Child

Housing

Single Family

Education Level

some high school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Maria Guadalupe Duran	09/12/1974	Mexico
Father	Jose Garcia	03/28/1971	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Chamblee H.S
Grade: 10th.
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