Pancho - HAR-SHE-01

Code: HAR-SHE-01
Mercy ID: V-01919-21
Encounter Date: 10/26/2005
Last: Harris
First: Sheldon
DOB: 03/03/2001
County: Cobb
Street: 3050 Cobb Pkwy Apt 4231
City: Kennesaw
State: GA

Zip

30152-

Home

(404) 644-8470

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Sally Harris	12/29/1980	USA
Father	Cesar Franco	05/22/1981	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Kids Care
Grade: Pre-K
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: C. Martinez
Data Entry: R. Gonzalez