Pancho - MOR-CHR-00

Code: MOR-CHR-00
Mercy ID: V-01889-21
Encounter Date: 05/11/2005
Last: Morales
First: Cristian
DOB: 02/04/2000
County: Dekalb
Street: 2957 N. Dekalb Dr. Apt 106
City: Doraville
State: GA

Zip

30340-

Cell

(770) 875-6741

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Preschool

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Sandra Perez	08/27/1982	Mexico
Father	Gerardo Morales	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
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: Volunteer
Data Entry: K. Aleman