Pancho - ROJ-BRA-03

Code: ROJ-BRA-03
Mercy ID: V-01533-21
Encounter Date: 03/31/2004
Last: Rojas
First: Brandon
DOB: 10/23/2003
County: Dekalb
Street: 304 Swimming Creek Rd.
City: Stone mountain
State: GA

Zip

30083-

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Johana Monroy	06/18/1985	Colombia
Father	Edison Rojas	09/19/1976	Colombia
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: Y. Garcia
Data Entry: K. Aleman