Pancho - CAT-JON-02

Code: CAT-JON-02
Mercy ID: V-00985-21
Encounter Date: 08/21/2002
Last: Catalán
First: Jonathan
DOB: 01/26/2002
County: Gwinnett
Street: 6836 Graves Mill
City: Norcross
State: GA

Zip

30093-

Home

(770) 414-4153

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	Josefina Salinas de Catal	10/09/1970	Mexico
Father	Bernardo	01/01/1966	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: Y. Garcia
Data Entry: K. Aleman