Pancho - SAR-JEF-93

Code: SAR-JEF-93
Mercy ID: V-01117-21
Encounter Date: 09/20/2006
Last: Sarceño
First: Jefferson
DOB: 11/10/1993
County: Cobb
Street: 750 Six flags Rd. L-450
City: Austell
State: GA

Zip

30168-

Home

(770) 745-1864

Cell

(404) 587-2968

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Lorena Estrada AUNT	12/27/1968	Guatemala
Father	N/A	N/A	N/A
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Aunt
Name of School: Liddley Middle
Grade: 7th.
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: Volunteer
Data Entry: J. Manzo