Pancho - CER-HAE-97

Code: CER-HAE-97
Mercy ID: V-01888-11
Encounter Date: 04/27/2005
Last: Ceron
First: Jaelene
DOB: 10/22/1997
County: Gwinnett
Street: 250 Howell Run
City: Duluth
State: GA

Zip

30096-

Cell

(678) 558-4346

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Karla Chavez	11/04/1972	Mexico
Father	Enrique Ceron	05/20/1979	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Chattahoche 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: Volunteer
Data Entry: K. Aleman