Pancho - NAV-JOS-99

Code: NAV-JOS-99
Mercy ID: V-02125-21
Encounter Date: 01/11/2006
Last: Navarrete
First: Jose
DOB: 01/05/1999
County: Fulton
Street: 2572 Lenox Rd
City: Atlanta
State: GA

Zip

30324-

Home

(404) 816-7320

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	Dora Nelly Espinosa	03/25/1979	Mexico
Father	Jose Navarrete	02/07/1974	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Garden Hill Elem.
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: R. Gonzalez