Pancho - RAM-JAV-00

Code: RAM-JAV-00
Mercy ID: V-01774-22
Encounter Date: 12/15/2004
Last: Ramirez
First: Javier
DOB: 10/21/2000
County: Gwinnett
Street: 813 The Falls Pkwy
City: Duluth
State: GA

Zip

30096-

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Angelica Barron	09/12/1976	Mexico
Father	Miguel Ramirez	10/16/1975	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: K. Aleman
Data Entry: K. Aleman