Pancho - GUE-JAM-94

Code: GUE-JAM-94
Mercy ID: V-00790-12
Encounter Date: 01/09/2002
Last: Guevara
First: Yeimin
DOB: 01/30/1994
County: Dekalb
Street: 302 Chase Lane
City: Norcross
State: GA

Zip

30093-

Home

(770) 416-8571

Family Status

Attached youth

COB

USA

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Mitzy Medrano	01/04/1970	El Salvador
Father	Jose Noe Guevara	10/08/1969	El Salvador
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Rockbridge Elementary
Grade: 5th.
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