Pancho - CAT-JAR-94

Code: CAT-JAR-94
Mercy ID: V-00985-11
Encounter Date: 08/21/2002
Last: Catalán
First: Jaritza
DOB: 10/23/1994
County: Gwinnett
Street: 6832 Graves Mill
City: Norcross
State: GA

Zip

30093-

Home

(770) 414-4153

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Josefina Salinas de Catal	10/09/1970	Mexico
Father	Bernardo Catalán	01/01/1966	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Nesville Elementary
Grade: 2nd.
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