Pancho - MUR-GAB-96

Code: MUR-GAB-96
Mercy ID: V-01171-21
Encounter Date: 03/26/2003
Last: Muro
First: Gabriel
DOB: 08/21/1996
County: Dekalb
Street: 3700 Buford Hwy Apt. 76
City: Atlanta
State: GA

Zip

30329-

Home

(404) 636-5146

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Maria Lopez	10/25/1974	Mexico
Father	Rosalio Muro	11/21/1969	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Montclair
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: Y. Garcia
Data Entry: K. Aleman