Pancho - BUE-LEO-96

Code: BUE-LEO-96
Mercy ID: V-00017-21
Encounter Date: 01/05/2000
Last: Buenaventura
First: Leonardo
DOB: 12/03/1996
County: Fulton
Street: 4745 Buford Hwy Apt. C
City: Chamblee
State: GA

Zip

30321-

Home

(678) 547-0850

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Other

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Veronica Flores	12/31/1980	Mexico
Father	Leonardo Buevaventura	08/22/1967	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: N/A
Grade: N/A
Who Can't Pickup the Child
Authoritation Parent: YES
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: J. Manzo
Data Entry: K. Aleman