Pancho - MOR-LIZ-90

Code: MOR-LIZ-90
Mercy ID: V-01247-11
Encounter Date: 06/25/2003
Last: Moreno
First: Lizbeth
DOB: 05/13/1990
County: Gwinnett
Street: 5705 Everglades
City: Norcross
State: GA

Zip

30071-

Home

(770) 368-2789

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Concepcion Gomez	07/31/1967	Mexico
Father	Raul Moreno	01/02/1971	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Summerhour Middle
Grade: 8th.
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