Pancho - LEY-JES-94

Code: LEY-JES-94
Mercy ID: V-00943-11
Encounter Date: 03/17/2004
Last: Leyva
First: Jessica
DOB: 09/08/1994
County: Gwinnett
Street: 502 Chase Ln.
City: Norcross
State: GA

Zip

30093-

Home

(404) 329-0942

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	Maria Alvarez	10/10/1973	Mexico
Father	Santiago Leyva	10/01/1973	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Lilburn Middle School
Grade: 6th.
Who Can't Pickup the Child
Authoritation Parent: YES
Authoritation Child: No
DOY PERMISO: YES
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: Y. Garcia
Data Entry: K. Aleman