MOR-JAN-04

Code
MOR-JAN-04
Mercy ID
V-01889-02
Encounter Date
05/11/2005
Last
Morales
First
Jan
DOB
09/20/2004
County
Dekalb
Street
2957 N. Dekalb Dr. Apt 106
City
Doraville
State
GA
Zip
30340-
Cell
(770) 875-6711
Family Status
Attached youth
COB
Mexico
Gender
Male Child
Housing
Not Homeless
Education Level
Child, not in school
Home Owner
No

Parents Information

Name DOB COB
Mother Sandra Perez 08/27/1982 Mexico
Father Gerardo Morales 03/13/1976 Mexico
Step Parent N/A N/A N/A
Driver
No
Relative
No
Stranger
No
NOTES
Lives With
Mother
Name of School
N/A
Grade
N/A
Who Can't Pickup the Child

Media

NO DOY PERMISO
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