Pancho - SAL-CRI-90

Code: SAL-CRI-90
Mercy ID: V-01969-21
Encounter Date: 07/06/2005
Last: Salazar
First: Cristian
DOB: 04/04/1990
County: Dekalb
Street: 1396 D N. Cliff
City: Atlanta
State: GA

Zip

30319-

Home

(404) 320-3386

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

some high school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Ana Maria Martinez	04/03/1955	Mexico
Father	Luis Salazar	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Cross Keys
Grade: 9th.
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