Pancho - GAR-JES-97

Code: GAR-JES-97
Mercy ID: V-02322-11
Encounter Date: 08/30/2006
Last: Garcia
First: Jesica
DOB: 08/04/1997
County: Clayton
Street: 4848 Parker St.
City: Forest park
State: GA

Zip

30297-

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	Maria del Rocio Martinez	06/02/1975	Mexico
Father	Erasmo Garcia	N/A	N/A
Step Parent	Diego Vega	11/13/1958	Mexico

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: Hendricks Elem
Grade: 4th.
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: Y. Garcia
Data Entry: J. Manzo