Pancho - CAL-JEN-93

Code: CAL-JEN-93
Mercy ID: V-00116-11
Encounter Date: 02/02/2000
Last: Calderon
First: Jenifer
DOB: 09/09/1993
County: Gwinnett
Street: 5200 Goshen Spg Rd B-19
City: Norcross
State: GA

Zip

30093-

Family Status

Attached youth

COB

Guatemala

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Sheny Lopez	01/03/1973	Guatemala
Father	N/A	N/A	Mexico
Step Parent	Julio Cesar Candelario	02/17/1977	Guatemala

Driver: YES
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: Wine H
Grade: Kinder
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: J. Perez
Data Entry: D. Gomez