Pancho - HER-JOV-93

Code: HER-JOV-93
Mercy ID: V-00121-11
Encounter Date: 03/01/2000
Last: Espinoza
First: Jovanna
DOB: 08/07/1993
County: Other
Street: 4486 Cherokee Dr.
City: Douglasville
State: GA

Zip

30134-

Home

(678) 838-9394

Family Status

Attached youth

COB

USA

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Alma Hernandez	02/28/1976	Mexico
Father	Octavio Espinosa	07/18/1972	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Burnett Elementary 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: J. Perez
Data Entry: Y. Garcia