Pancho - CEB-JES-92

Code: CEB-JES-92
Mercy ID: V-00555-21
Encounter Date: 03/19/2003
Last: Ceballos
First: Jesus david
DOB: 09/02/1992
County: Dekalb
Street: 4634 Pigeon Island Dr.
City: Decatur
State: GA

Zip

30035-

Home

(770) 593-2495

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Melida Llanos-Ceballos	09/12/1958	Colombia
Father	Hoover Ceballos	10/01/1953	Colombia
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Cumbilane Elementary
Grade: 5th.
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: Y. Garcia
Data Entry: K. Aleman