Pancho - JET-JOV-99

Code: JET-JOV-99
Mercy ID: V-02218-23
Encounter Date: 04/26/2006
Last: Jeter
First: Jovani
DOB: 03/25/1999
County: Gwinnett
Street: 6369 Brandywine Trail
City: Norcross
State: GA

Zip

30093-

Home

(678) 966-9693

Cell

(404) 255-3782

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Pasquiel Jeter	07/16/1976	USA
Father	Ruben Valenciano	12/21/1976	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Peachtree 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: R. Gonzalez
Data Entry: R. Gonzalez