Pancho - LOB-ANT-04

Code: LOB-ANT-04
Mercy ID: V-02244-23
Encounter Date: 05/17/2006
Last: Lobo
First: Anthony
DOB: 05/18/2004
County: Clayton
Street: 7677 Tara Blvd Lot #24
City: Jonesboro
State: GA

Zip

30236-

Home

(770) 875-4243

Cell

(770) 472-5311

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Araceli Lobo	04/29/1981	USA
Father	Edgardo Lobo	03/04/1974	Honduras
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