Pancho - ROD-ELM-66

Code: ROD-ELM-66
Mercy ID: V-00807-02
Encounter Date: 06/25/2002
Last: Rodriguez
First: Elmer
DOB: 12/30/1966
County: Cobb
Street: 803 Westridge Dr.
City: Acworth
State: GA

Zip

30101-

Home

(770) 975-9663

Family Status

Adult coupie-no children

COB

El Salvador

Gender

Male

Housing

Doubling Up

Education Level

some high school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	N/A	N/A	N/A
Father	N/A	N/A	N/A
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: N/A
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: R. Miranda
Data Entry: K. Aleman