ART-JON-01

Code
ART-JON-01
Mercy ID
V-00392-21
Encounter Date
08/08/2001
Last
Arteaga
First
Jonathan
DOB
08/08/2001
County
Other
Street
507-E 2nd Apt. 1
City
Rome
State
GA
Zip
30316-
Home
(706) 232-0401
Family Status
Attached youth
COB
Mexico
Gender
Male Child
Housing
Doubling Up
Education Level
Grade school
Home Owner
No

Parents Information

Name DOB COB
Mother Lucia Reynosa N/A Mexico
Father Fermin Arteaga 07/07/1971 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
DOB is wrong/ this kid comes to the program with his father. We need a more complete intake of him
Lives With
N/A
Name of School
N/A
Grade
N/A
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
K. Aleman
Data Entry
K. Aleman