Pancho - CAS-MOI-90

Code: CAS-MOI-90
Mercy ID: V-00937-22
Encounter Date: 05/29/2002
Last: Castañeda
First: Moises
DOB: 07/01/1990
County: Paulding
Street: 74 Cagle Way
City: Hiram
State: GA

Zip

30141-

Home

(770) 505-1595

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Beatriz Martinez	11/18/1966	Mexico
Father	Ricardo Castañeda	04/05/1960	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: South Paulding Middle
Grade: 7th.
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