Pancho - MON-CES-97

Code: MON-CES-97
Mercy ID: V-01355-21
Encounter Date: 09/24/2003
Last: Monsalvo
First: Cesar
DOB: 04/03/1997
County: Dekalb
Street: 6493 Pleasendale Rd. #1
City: Doraville
State: GA

Zip

30340-

Home

(770) 559-4500

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Nora Monsalvo	07/02/1965	Mexico
Father	David Monsalvo	09/14/1964	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Stripling Elementary
Grade: 1st.
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