Pancho - LIN-JAS-99

Code: LIN-JAS-99
Mercy ID: V-00328-23
Encounter Date: 05/02/2001
Last: Linares
First: Jason
DOB: 08/26/1999
County: Dekalb
Street: 2552 Presidents Walk
City: Tucker
State: GA

Zip

30084-

Home

(404) 296-9953

Family Status

Attached youth

COB

Guatemala

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Sandra Orellana	02/06/1968	Guatemala
Father	Freddy Linares	05/20/1968	Guatemala
Step Parent	Rene Arana	03/26/1972	Guatemala

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: N/A
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: K. Aleman
Data Entry: K. Aleman