Pancho - PAR-JEN-97

Code: PAR-JEN-97
Mercy ID: V-01575-11
Encounter Date: 04/21/2004
Last: Paredes
First: Jennifer
DOB: 09/10/1997
County: Forsyth
Street: 2345 Hollie Lane
City: Cumming
State: GA

Zip

30040-

Home

(770) 205-6430

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Preschool

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Idalia Paredes	07/03/1980	Mexico
Father	Joel Paredes	07/13/1973	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Sanne Primary School
Grade: 1st.
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: K. Aleman