Pancho - FUN-KEV-05

Code: FUN-KEV-05
Mercy ID: V-02663-22
Encounter Date: 12/12/2007
Last: Funes
First: Kevin
DOB: 07/13/2005
County: Cobb
Street: 2916 Mason Wood
City: Kenesaw
State: GA

Zip

30152-

Cell

(678) 522-0776

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	Lidice Funes	08/01/1973	Colombia
Father	Carlos Funes	06/10/1966	El Salvador
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: C. Martinez
Data Entry: J. Manzo