Pancho - ALM-JAS-00

Code: ALM-JAS-00
Mercy ID: V-02448-22
Encounter Date: 03/28/2007
Last: Almendares
First: Jason
DOB: 08/02/2000
County: Gwinnett
Street: 861 Johnston Oak Ln NW
City: Lilburn
State: GA

Zip

30047-

Home

(678) 358-8335

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Digna Urias	10/30/1962	El Salvador
Father	N/A	N/A	N/A
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: N/A
Name of School: Lilburn Elem
Grade: 1st.
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: Volunteer
Data Entry: J. Manzo