Pancho - JAL-CHR-00

Code: JAL-CHR-00
Mercy ID: V-01894-21
Encounter Date: 03/30/2005
Last: Jallu
First: Christian
DOB: 11/05/2000
County: Gwinnett
Street: 930 Clairidge
City: Lawrenceville
State: GA

Zip

30045-

Home

(678) 407-0466

Cell

(770) 366-3523

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Jessica Jallu	07/07/1974	Honduras
Father	Christian Jallu	10/30/1973	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