Pancho - CAR-JOS-96

Code: CAR-JOS-96
Mercy ID: V-01553-22
Encounter Date: 05/26/2004
Last: Cardenas
First: Jose
DOB: 05/23/1996
County: Cobb
Street: 3783 Kingwoods Dr.
City: Decatur
State: GA

Zip

30032-

Home

(404) 299-3187

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Maria Cardenas	08/20/1965	El Salvador
Father	Jorge Cardenas	12/09/1954	El Salvador
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
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