Pancho - MAR-JUA-85

Code: MAR-JUA-85
Mercy ID: V-00195-21
Encounter Date: 05/03/2000
Last: Martinez
First: Juan carlos
DOB: 10/20/1985
County: Gwinnett
Street: 3075 Gwinnstone Circle
City: Snellville
State: GA

Zip

30078-

Home

(678) 344-6915

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

some high school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Luz Elena Martinez	09/12/1966	Mexico
Father	Juan Carlos Martinez	03/04/1963	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Shilow Middle School
Grade: 8th.
Who Can't Pickup the Child: Juan Carlos Martinez-Father
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