Pancho - MAN-JES-69

Code: MAN-JES-69
Mercy ID: V-00620-02
Encounter Date: 08/21/2001
Last: Manzo
First: Jesus
DOB: 07/24/1969
County: Dekalb
Street: 4511 John Dr.
City: Norcross
State: GA

Zip

30093-

Home

(770) 925-4314

Family Status

Two parent family w/children

COB

Mexico

Gender

Male

Housing

Doubling Up

Education Level

some high school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	N/A	N/A	N/A
Father	N/A	N/A	N/A
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: N/A
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: R. Miranda
Data Entry: K. Aleman