Pancho - MUR-JAI-98

Code: MUR-JAI-98
Mercy ID: V-01846-11
Encounter Date: 04/27/2005
Last: Murphy
First: Jailenne
DOB: 01/13/1998
County: Gwinnett
Street: 5336A Lambert Dr.
City: Norcross
State: GA

Zip

30093-

Home

(770) 925-8268

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Miosotis Farias	04/28/1979	Dominican Rep
Father	Edwin Murphy	08/27/1974	Dominican Rep
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: N/A
Grade: 1st.
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: Volunteer
Data Entry: K. Aleman