Pancho - SAL-CHR-85

Code: SAL-CHR-85
Mercy ID: V-00684-21
Encounter Date: 09/19/2001
Last: Salazar
First: Cristian
DOB: 02/08/1985
County: Cobb
Street: 3510 Buford Hwy Apt. W7
City: Atlanta
State: GA

Zip

30329-

Home

(678) 488-9405

Family Status

Attached youth

COB

Guatemala

Gender

Male Child

Housing

Doubling Up

Education Level

some high school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Silvia Castillo	03/18/1967	Guatemala
Father	Manuel Salazar	09/13/1965	Guatemala
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Cross Keys High School
Grade: 10th.
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: R. Miranda