Pancho - ALV-JOS-03

Code: ALV-JOS-03
Mercy ID: V-03242-21
Encounter Date: 01/27/2010
Last: Alvarez
First: Joshua
DOB: 12/16/2003
County: Clayton
Street: 636 Red Fox Trail
City: Jonesboro
State: GA

Zip

30238-

Cell

(404) 552-6453

Family Status

Child/Youth

COB

USA

Gender

Male Child

Housing

Single Family

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Maria de los A. Gonzalez	08/02/1980	Mexico
Father	Juan Alberto Alvarez	02/06/1969	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Hawthorne Elem
Grade: N/A
Who Can't Pickup the Child
Authoritation Parent: YES
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: Volunteer
Data Entry: J. Manzo