Pancho - MOR-BRE-98

Code: MOR-BRE-98
Mercy ID: V-02511-11
Encounter Date: 06/06/2007
Last: Morales
First: Brenda
DOB: 05/07/1998
County: Cherokee
Street: 200 Dupree Rd.
City: Woodstock
State: GA

Zip

30189-

Cell

(770) 560-4623

Family Status

Attached youth

COB

USA

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Maria Morales	06/21/1978	Mexico
Father	Jorge Morales	04/23/1975	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: N/A
Name of School: Mimosa Elem
Grade: 4th.
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: J. Manzo