Pancho - MOR-CHR-95

Code: MOR-CHR-95
Mercy ID: V-01333-21
Encounter Date: 09/03/2003
Last: Morales
First: Christopher
DOB: 07/07/1995
County: Gwinnett
Street: 3280 View Court
City: Snellville
State: GA

Zip

30078-

Home

(770) 171-6297

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	Yadira	08/04/1975	Honduras
Father	Carlos Morales	04/17/1969	Guatemala
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Centerville
Grade: 2nd.
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