Pancho - LAN-JAI-90

Code: LAN-JAI-90
Mercy ID: V-01340-21
Encounter Date: 09/03/2003
Last: Landeros
First: Jaime
DOB: 10/02/1990
County: Gwinnett
Street: 5141 Hwy. 78 23-B
City: Stone mountain
State: GA

Zip

30087-

Cell

(770) 885-7075

Family Status

Child/Youth

COB

USA

Gender

Male Child

Housing

Single Family

Education Level

some high school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Griselda Landeros	04/11/1963	Mexico
Father	Jaime Landeros	01/29/1962	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Youth Challenget Gwinnett-GED
Grade: 10th.
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