CAS-JAQ-89

Code
CAS-JAQ-89
Mercy ID
V-00012-11
Encounter Date
01/05/2000
Last
Castañeda
First
Jackelyn
DOB
07/14/1989
County
Gwinnett
Street
5376 Stanford Village Lane
City
Norcross
State
GA
Zip
30071-
Home
(770) 246-9412
Cell
(678) 754-4751
Family Status
Attached youth
COB
Mexico
Gender
Female Child
Housing
Not Homeless
Education Level
Grade school
Home Owner
YES

Parents Information

Name DOB COB
Mother Maria Castañeda 02/25/1967 Mexico
Father Jesus Castañeda 04/26/1965 Mexico
Step Parent Miguel Resendiz N/A Mexico
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother w/Stepfather
Name of School
Beaver Ridge
Grade
3rd.
Who Can't Pickup the Child
Jesus Castañeda

Media

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