Pancho - MOR-EDW-06

Code: MOR-EDW-06
Mercy ID: V-02535-21
Encounter Date: 06/27/2007
Last: Morales
First: Edwin
DOB: 05/05/2006
County: Cobb
Street: 62 Grantville Rd. M-3
City: Marietta
State: GA

Zip

30060-

Home

(678) 927-1367

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Judith Cabrera	08/29/1990	Mexico
Father	Florentino Morales	08/23/1983	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: J. Manzo