Pancho - PER-JON-91

Code: PER-JON-91
Mercy ID: V-00127-22
Encounter Date: 02/28/2000
Last: Perez
First: Jonathan
DOB: 12/16/1991
County: Gwinnett
Street: 1210 Izod Ct.
City: Lawrenceville
State: GA

Zip

30044-

Home

(678) 380-5966

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

some high school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	juana perez	09/15/1961	Mexico
Father	felipe perez	01/07/1960	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Berkmar HS
Grade: 9th.
Who Can't Pickup the Child: Elliot Gomez
Authoritation Parent: YES
Authoritation Child: No
DOY PERMISO: YES
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: J. Perez
Data Entry: Y. Garcia