Pancho - JAL-CAT-03

Code: JAL-CAT-03
Mercy ID: V-01894-11
Encounter Date: 03/30/2005
Last: Jallu
First: Catherine
DOB: 07/25/2003
County: Gwinnett
Street: 930 Clairidge Ln.
City: Lawrenceville
State: GA

Zip

30045-

Home

(678) 407-0466

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Jessica Jallu	07/07/1974	Honduras
Father	Christian Jallu	10/30/1974	Honduras
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: Volunteer
Data Entry: K. Aleman