Pancho - SAR-JUA-95

Code: SAR-JUA-95
Mercy ID: V-02149-21
Encounter Date: 04/05/2006
Last: Sarabia
First: Juan manuel
DOB: 06/12/1995
County: Dekalb
Street: 4721Buford Hwy #-1
City: Chamblee
State: GA

Zip

30341-

Cell

(678) 849-7141

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	Elimey Sarabia	07/09/1972	Mexico
Father	Efren Juarez Bello	06/18/1965	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Dresden Elem
Grade: 5th.
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: R. Gonzalez
Data Entry: R. Gonzalez