Pancho - FUN-JES-21

Code: FUN-JES-21
Mercy ID: V-00362-21
Encounter Date: 12/18/2000
Last: Funez
First: Jesus
DOB: 06/04/1991
County: Cobb
Street: 1260 South Cobb Dr. L-51
City: Marietta
State: GA

Zip

30060-

Cell

(678) 663-3321

Family Status

Child/Youth

COB

Mexico

Gender

Male Child

Housing

Single Family

Education Level

High school graduate

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	silvia tarango	05/19/1970	Mexico
Father	manuel tarango	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: woodward
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: K. Aleman
Data Entry: S. Aviña