Pancho - MOR-SAT-78

Code: MOR-SAT-78
Mercy ID: V-01304-02
Encounter Date: 08/05/2003
Last: Moreno
First: Saturnino
DOB: 11/29/1978
County: Cobb
Street: 700 Fraiser Circle
City: Marietta
State: GA

Zip

30060-

Home

(678) 618-8557

Family Status

Single parent w/children

COB

Mexico

Gender

Male

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	N/A	N/A	N/A
Father	N/A	N/A	N/A
Step Parent	N/A	N/A	N/A

Driver: YES
Relative: No
Stranger: No
Lives With: N/A
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: R. Miranda
Data Entry: K. Aleman