Pancho - SAN-LES-99

Code: SAN-LES-99
Mercy ID: V-01204-11
Encounter Date: 04/23/2003
Last: Sanchez
First: Lesley
DOB: 12/01/1999
County: Dekalb
Street: 3630 Shallowford Rd. G-2
City: Doraville
State: GA

Zip

30340-

Home

(770) 455-6446

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Maria Juana Hernandez	02/28/1978	Mexico
Father	Jesus Sanchez	05/05/1975	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: No
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: K. Aleman
Data Entry: K. Aleman