Pancho - ESC-JAC-93

Code: ESC-JAC-93
Mercy ID: V-00267-11
Encounter Date: 09/06/2000
Last: Escobar escalante
First: Jacqueline
DOB: 11/20/1993
County: Gwinnett
Street: 4256 pleasant lake village ln apt 4
City: Duluth
State: GA

Zip

30096-

Home

(678) 417-0634

Family Status

Attached youth

COB

USA

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	elsa escalante	08/02/1973	Guatemala
Father	ubaldo escobar	05/16/1950	Guatemala
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: bb. Harris elementary
Grade: 1st.
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: K. Aleman
Data Entry: S. Aviña