Pancho - GAS-JON-97

Code: GAS-JON-97
Mercy ID: V-00045-21
Encounter Date: 02/21/2000
Last: Gaspar
First: Jonatan
DOB: 05/31/1997
County: Gwinnett
Street: 817-3 Winghollow Tr.
City: Norcross
State: GA

Zip

30071-

Home

(770) 209-9906

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Rosa Gaspar	01/02/1970	Mexico
Father	Rodrigo Gaspar	03/13/1971	Mexico
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: J. Manzo
Data Entry: Y. Garcia