SAL-JON-09

Code
SAL-JON-09
Mercy ID
V-03436-22
Encounter Date
10/13/2010
Last
Salgado
First
Jonathan
DOB
06/18/2009
County
Dekalb
Street
2195 Dresden Dr. Apt. 1
City
Atlanta
State
GA
Zip
30345-
Cell
(404) 552-6734
Family Status
Child/Youth
COB
USA
Gender
Male Child
Housing
Single Family
Education Level
Child, not in school
Home Owner
No

Parents Information

Name DOB COB
Mother Cinthia Salgado 03/27/1989 Mexico
Father Victor Jimenez 02/05/1987 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Parents
Name of School
N/A
Grade
N/A
Who Can't Pickup the Child

Media

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