Pancho - VAR-ALF-77

Code: VAR-ALF-77
Mercy ID: V-02353-02
Encounter Date: 11/07/2006
Last: Varela
First: Alfredo
DOB: 01/12/1977
County: Dekalb
Street: 3030 Clairmont Rd. Apt. H
City: Atlasnta
State: GA

Zip

30329-

Cell

(678) 575-7848

Family Status

Single adult

COB

Mexico

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: J. Manzo
Data Entry: J. Manzo