Pancho - FRA-JOS-95

Code: FRA-JOS-95
Mercy ID: V-01308-23
Encounter Date: 08/07/2003
Last: Fragoso
First: Jose
DOB: 11/20/1995
County: Dekalb
Street: 3574 Buford Hwy Apt. 4
City: Atlanta
State: GA

Zip

30329-

Home

(404) 325-5796

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Lourdes Varela	02/11/1974	Mexico
Father	Ricardo Fragoso	04/03/1973	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Montclair Elementary
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: Y. Garcia
Data Entry: K. Aleman