Pancho - REE-LES-03

Code: REE-LES-03
Mercy ID: V-01626-13
Encounter Date: 08/23/2004
Last: Reed
First: Leslie
DOB: 06/10/2003
County: Fulton
Street: 59 Longview Dr.
City: East point
State: GA

Zip

30344-

Home

(404) 312-9895

Family Status

Attached youth

COB

USA

Gender

Female Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Angela Reed	08/26/1984	USA
Father	N/A	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: n/a
Grade: N/A
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: K. Aleman
Data Entry: K. Aleman