Pancho - BAR-FRA-03

Code: BAR-FRA-03
Mercy ID: V-02832-21
Encounter Date: 07/16/2008
Last: Barberena
First: Francisco
DOB: 07/22/2003
County: Gwinnett
Street: 1635 Pirkle Road Apt. 1608
City: Norcross
State: GA

Zip

30093-

Cell

(404) 516-6057

Family Status

Child/Youth

COB

USA

Gender

Male Child

Housing

Single Family

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Nubia Jimenez	06/13/1984	Honduras
Father	Francisco Barberena	10/18/1968	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Father
Name of School: Middle Creek Elem
Grade: Kinder
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