Pancho - TOR-JOS-01

Code: TOR-JOS-01
Mercy ID: V-03237-21
Encounter Date: 03/24/2010
Last: Toral
First: Jose
DOB: 11/06/2001
County: Cobb
Street: 1794 James Dr. Apt. A-2
City: Marietta
State: GA

Zip

30060-

Cell

(770) 709-1658

Family Status

Child/Youth

COB

Mexico

Gender

Male Child

Housing

Single Family

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Nuri Leticia Ramos	12/06/1974	Mexico
Father	Jose Toral	04/13/1970	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Green Acre Elem
Grade: 2nd.
Who Can't Pickup the Child
Authoritation Parent: YES
Authoritation Child: No
DOY PERMISO: YES
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: Volunteer
Data Entry: J. Manzo