Pancho - LEO-EVE-89

Code: LEO-EVE-89
Mercy ID: V-00636-21
Encounter Date: 12/29/2004
Last: Leon
First: Andres
DOB: 12/07/1989
County: Gwinnett
Street: 2292 Carton Chase
City: Douglas
State: GA

Zip

30019-

Home

(770) 962-1286

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

some high school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Maritza Leon (Martinez )	04/16/1963	Colombia
Father	Jose Ever Leon	09/03/1962	Colombia
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Dacula High School
Grade: 9th.
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