Pancho - ARA-CRI-99

Code: ARA-CRI-99
Mercy ID: V-02937-21
Encounter Date: 11/19/2008
Last: Aragon
First: Cristian
DOB: 08/19/1999
County: Clayton
Street: 1219 Marquis Way Apt. 1219
City: Morrow
State: GA

Zip

30260-

Cell

(404) 798-9824

Family Status

Child/Youth

COB

USA

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Maria Puon Diaz	03/09/1975	Mexico
Father	Porfirio Aragon	07/22/1976	Mexico
Step Parent	N/A	N/A	N/A

Driver: YES
Relative: YES
Stranger: No
Lives With: Mother
Name of School: James Elem.
Grade: 4th.
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: C. Martinez
Data Entry: J. Manzo