Pancho - GOD-KEN-01

Code: GOD-KEN-01
Mercy ID: V-01118-22
Encounter Date: 02/12/2003
Last: Godoy
First: Kenneth
DOB: 08/20/2001
County: Cobb
Street: 490 Windy Hill Apt 435
City: Smyrna
State: GA

Zip

30082-

Home

(678) 608-9589

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Zaida Ramirez	10/12/1973	Guatemala
Father	Roni Godoy	07/25/1972	Guatemala
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Argyle Elemen.
Grade: 2nd.
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: K. Aleman
Data Entry: K. Aleman