Pancho - BAR-JEN-93

Code: BAR-JEN-93
Mercy ID: V-00549-11
Encounter Date: 06/27/2001
Last: Barba
First: Jennifer
DOB: 12/28/1993
County: Cobb
Street: 37 Frank St.
City: Marietta
State: GA

Zip

30008-

Home

(678) 354-8840

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Santa Lopez	11/08/1966	Mexico
Father	Ricardo Barba	02/07/1970	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: N/A
Grade: 2nd.
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