Pancho - FLO-JHO-93

Code: FLO-JHO-93
Mercy ID: V-00348-22
Encounter Date: 05/14/2003
Last: Flores
First: Jhony
DOB: 07/03/1993
County: Dekalb
Street: 3982 Doral Dr.
City: Doraville
State: GA

Zip

30360-

Home

(770) 454-8509

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Irene Arellano	04/05/1959	Mexico
Father	Angel Flores	10/15/1961	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Hightower Elementary
Grade: 4th.
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: Y. Garcia
Data Entry: K. Aleman