Pancho - ROU-JON-99

Code: ROU-JON-99
Mercy ID: V-00203-22
Encounter Date: 02/04/2003
Last: Roura
First: Jonathan
DOB: 12/16/1999
County: Dekalb
Street: 3516 Buford Hwy #8
City: Atlanta
State: GA

Zip

30329-

Home

(404) 982-0966

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Irma Valencia	12/23/1967	Mexico
Father	N/A	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: N/A
Grade: N/A
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: K. Aleman
Data Entry: K. Aleman