Pancho - BON-JEU-00

Code: BON-JEU-00
Mercy ID: V-00944-11
Encounter Date: 06/12/2002
Last: Bonilla
First: Jeunsi
DOB: 02/07/2000
County: Gwinnett
Street: 414 Hampton Crossing
City: Norcross
State: GA

Zip

30093-

Home

(770) 279-1392

Family Status

Attached youth

COB

El Salvador

Gender

Female Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Maria Bonilla	08/26/1975	El Salvador
Father	Mario Roberto Magaña	04/17/1973	El Salvador
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: N/A
Grade: N/A
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