Pancho - FLO-LES-97

Code: FLO-LES-97
Mercy ID: V-00183-12
Encounter Date: 05/24/2000
Last: Flores
First: Leslie
DOB: 10/23/1997
County: Gwinnett
Street: 5182 Edgemoore Dr.
City: Norcross
State: GA

Zip

30071-

Home

(770) 797-9027

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Griselda Urbina	10/02/1971	Mexico
Father	Hector Flores	01/14/1976	Mexico
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: K. Aleman
Data Entry: K. Aleman