Pancho - COR-JAN-88

Code: COR-JAN-88
Mercy ID: V-01080-11
Encounter Date: 01/21/2003
Last: Cortez
First: Janet
DOB: 08/06/1988
County: Fulton
Street: 1931 4 Stanton Rd.
City: East point
State: GA

Zip

30344-

Home

(404) 766-4908

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

some high school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Mireya Romero	04/17/1969	Mexico
Father	Eduardo Cortez	11/07/1965	Mexico
Step Parent	N/A	N/A	N/A

Driver: YES
Relative: YES
Stranger: No
Lives With: Mother
Name of School: Woodland Middle School
Grade: 8th.
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: J. Manzo
Data Entry: K. Aleman