Pancho - COR-JUA-96

Code: COR-JUA-96
Mercy ID: V-00938-22
Encounter Date: 06/05/2002
Last: Cortez
First: Juan jose
DOB: 10/29/1996
County: Dekalb
Street: 816 Winter Park Dr.
City: Doraville
State: GA

Zip

30360-

Home

(770) 729-3982

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Preschool

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Maria del Carmen Arreola	11/04/1969	Mexico
Father	Armando Cortez	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: N/A
Name of School: Hightower Elementary
Grade: Kinder
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