Pancho - MOR-ASH-01

Code: MOR-ASH-01
Mercy ID: V-01241-11
Encounter Date: 06/25/2003
Last: Moran
First: Ashley
DOB: 02/09/2001
County: Gwinnett
Street: 3262 Oak Vista Way
City: Lawrenceville
State: GA

Zip

30044-

Home

(770) 931-6851

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Iris Herrera	07/02/1967	Honduras
Father	Carlos Moran	07/01/1973	El Salvador
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: N/A
Grade: N/A
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