Pancho - CON-JUA-91

Code: CON-JUA-91
Mercy ID: V-01239-11
Encounter Date: 07/08/2003
Last: Contreras
First: Juana
DOB: 10/30/1991
County: Fulton
Street: 66 Northwood Dr. Apt. 134
City: Atlanta
State: GA

Zip

30342-

Home

(404) 531-9062

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Candelaria Contreras	N/A	Mexico
Father	Sixto Contreras	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: High Point
Grade: 6th.
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