CHO-JOS-91

Code
CHO-JOS-91
Mercy ID
V-02706-21
Encounter Date
01/14/2009
Last
Chona
First
Jose
DOB
11/27/1991
County
Fulton
Street
88 Old Holcombridge Way
City
Roswell
State
GA
Zip
30076-
Home
(770) 649-0949
Cell
(770) 374-4887
Family Status
Child/Youth
COB
Mexico
Gender
Male Child
Housing
Single Family
Education Level
some high school
Home Owner
No

Parents Information

Name DOB COB
Mother Victoria Hernandez 07/28/1974 Mexico
Father Gabino Chona Guerrero N/A Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
Centenial High School
Grade
10th.
Who Can't Pickup the Child

Media

NO DOY PERMISO
Authoritation Parent
No
Authoritation Child
No
DOY PERMISO
No
Limitado Educativo
No
Limitado Impresos
No
Limitado Caminar Latino
No
Intake
C. Martinez
Data Entry
J. Manzo