Pancho - ROD-JON-97

Code: ROD-JON-97
Mercy ID: V-00403-21
Encounter Date: 02/07/2001
Last: Rodriguez
First: Jonathan
DOB: 05/13/1997
County: Cobb
Street: 87 Gunter St. Apt. #3
City: Marietta
State: GA

Zip

30060-

Home

(770) 794-6681

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Not Homeless

Education Level

Other

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Melissa Flores	04/19/1968	USA
Father	N/A	N/A	Mexico
Step Parent	Gerardo Flores	11/02/1980	Mexico

Driver: No
Relative: No
Stranger: No
Lives With: Mother w/Stepfather
Name of School: Woods Randall
Grade: Daycare
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