Pancho - MOR-AND-03

Code: MOR-AND-03
Mercy ID: V-02511-21
Encounter Date: 06/06/2007
Last: Morales
First: Andres
DOB: 08/19/2003
County: Cherokee
Street: 200Dupree Rd.
City: Woodstock
State: GA

Zip

30189-

Cell

(770) 560-4623

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Doubling Up

Education Level

Preschool

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: Parents
Name of School: sunshine house
Grade: Pre-K
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