Pancho - OJE-LEO-04

Code: OJE-LEO-04
Mercy ID: V-02219-22
Encounter Date: 04/19/2006
Last: Ojeda labastida
First: Leonardo
DOB: 04/23/2004
County: Fulton
Street: 1021 Cedar Avenue Apt#2
City: East point
State: GA

Zip

30344-

Home

(404) 761-0136

Cell

(404) 425-8576

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Yasmin Labastida	05/27/1979	Mexico
Father	Jose Martin Ojeda Pinal	02/10/1978	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
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