Pancho - PAR-LES-00

Code: PAR-LES-00
Mercy ID: V-01575-12
Encounter Date: 04/21/2004
Last: Paredes
First: Leslye jasmine
DOB: 05/09/2000
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

Child, not in school

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: Forsyth Head Start
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