Pancho - BOT-NAT-01

Code: BOT-NAT-01
Mercy ID: V-00959-23
Encounter Date: 07/01/2002
Last: Botello
First: Nathan
DOB: 11/02/2001
County: Gwinnett
Street: 347 River Brook Trail
City: Riverdale
State: GA

Zip

30274-

Home

(770) 996-7343

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Blanca Botello	09/20/1972	Mexico
Father	Ernesto Botello	12/24/1972	Cuba
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
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