Pancho - GAR-JOS-87

Code: GAR-JOS-87
Mercy ID: V-02993-21
Encounter Date: 01/28/2009
Last: Gacia
First: Carlos
DOB: 07/04/1987
County: Cobb
Street: 1973 Leila St.
City: Austell
State: GA

Zip

30106-

Home

(770) 941-1919

Cell

(770) 633-6705

Family Status

Two parent family w/children

COB

Mexico

Gender

Male Child

Housing

Single Family

Education Level

H.S. equivalency diploma

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Maria Ruiz	07/08/1967	Mexico
Father	Juan Carlos Garcia	06/06/1965	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
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: C. Martinez
Data Entry: J. Manzo