Pancho - MEN-JES-84

Code: MEN-JES-84
Mercy ID: B-00034-21
Encounter Date: 07/27/1998
Last: Mendiola
First: Jesus
DOB: 12/27/1984
County: Other
Street: 3129 Valley via St.
City: Powder springs ga
State: GA

Zip

30127-

Home

(404) 298-9110

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Shelter

Education Level

Post Grad Degree

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Argelia Adame	N/A	Mexico
Father	N/A	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: N/A
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: J. Perez
Data Entry: K. Aleman