Pancho - MOR-CAR-01

Code: MOR-CAR-01
Mercy ID: V-01333-22
Encounter Date: 09/03/2003
Last: Morales
First: Carlos
DOB: 08/06/2001
County: Gwinnett
Street: 3280 Sims View Court
City: Snellville
State: GA

Zip

30078-

Home

(770) 717-6297

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Yadira Morales	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: 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