Pancho - LOR-JON-05

Code: LOR-JON-05
Mercy ID: V-02958-22
Encounter Date: 12/10/2008
Last: Loredo
First: Jonathan
DOB: 09/19/2003
County: Gwinnett
Street: 2302 Lia Hill Drive
City: Norcross
State: GA

Zip

30071-

Cell

(770) 882-1877

Family Status

Child/Youth

COB

USA

Gender

Male Child

Housing

Single Family

Education Level

Preschool

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Griselda Bocanegra	03/04/1974	Mexico
Father	Pablo Loredo	04/27/1972	El Salvador
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Norcross Head Start
Grade: Pre-K
Who Can't Pickup the Child
Authoritation Parent: No
Authoritation Child: No
DOY PERMISO: YES
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: C. Martinez
Data Entry: J. Manzo