Pancho - MUN-ANG-98

Code: MUN-ANG-98
Mercy ID: V-00668-21
Encounter Date: 10/10/2001
Last: Munive
First: Angel
DOB: 11/18/1998
County: Cobb
Street: 3292 Long Meadow Pass
City: Kenesaw
State: GA

Zip

30152-

Home

(770) 529-0394

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Juana Cruz	07/02/1973	Mexico
Father	Angel Munive	06/01/1970	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
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: Y. Garcia
Data Entry: K. Aleman