Pancho - JIM-LES-97

Code: JIM-LES-97
Mercy ID: V-02209-12
Encounter Date: 03/29/2006
Last: Jimenez tafolla
First: Leslie
DOB: 03/15/1997
County: Gwinnett
Street: 6373 Boyett
City: Norcross
State: GA

Zip

30093-

Cell

(678) 437-3370

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Transitional

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Humbelina Tafolla	01/21/1969	Mexico
Father	Navor Jimenez	07/12/1968	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: R. Gonzalez
Data Entry: R. Gonzalez