Pancho - CEC-ANT-97

Code: CEC-ANT-97
Mercy ID: V-02325-21
Encounter Date: 09/20/2006
Last: Cecena
First: Antoni
DOB: 07/07/1997
County: Gwinnett
Street: 1700 Hunter Ridge Ln Apt. 4906
City: Norcross
State: GA

Zip

30092-

Cell

(678) 334-8560

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Mirta NavA	09/24/1977	Mexico
Father	Cain Cecena	04/08/1972	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Peachtree Ridge Elem
Grade: 4th.
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: J. Manzo