Pancho - JAV-ANT-91

Code: JAV-ANT-91
Mercy ID: V-00339-21
Encounter Date: 11/15/2000
Last: Javalera
First: Antony
DOB: 09/23/1991
County: Fulton
Street: 1295 roberts dr
City: Atlanta
State: GA

Zip

30315-

Home

(404) 622-8614

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	lila javalera	02/09/1966	Mexico
Father	antonio javalera	06/13/1961	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: beteen elem
Grade: 4th.
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: S. Aviña