Pancho - ABU-MIC-03

Code: ABU-MIC-03
Mercy ID: V-02256-21
Encounter Date: 05/24/2006
Last: Abundis
First: Michael
DOB: 01/03/2003
County: Cobb
Street: 2078 Cherokee Ridge Trl
City: Kennesaw
State: GA

Zip

30144-

Home

(770) 514-7684

Cell

(678) 895-2439

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Leticia Betancourt	09/14/1978	Mexico
Father	Marco Antonio Abundis	04/27/1978	Mexico
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: R. Gonzalez
Data Entry: R. Gonzalez