Pancho - RAM-RAU-85

Code: RAM-RAU-85
Mercy ID: V-01123-21
Encounter Date: 02/12/2003
Last: Ramirez
First: Raul
DOB: 09/23/1985
County: Gwinnett
Street: 1302 Country Down ST.
City: Norcross
State: GA

Zip

30000-0

Home

(770) 931-8349

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Maria Ochoa	08/15/1966	Mexico
Father	Rafael Ramirez	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: Y. Garcia
Data Entry: K. Aleman