Pancho - ROL-RAM-94

Code: ROL-RAM-94
Mercy ID: V-02519-21
Encounter Date: 06/20/2007
Last: Roldan
First: Ramon
DOB: 05/29/1994
County: Gwinnett
Street: 1415 Gabriel Dr.
City: Lawrenceville
State: GA

Zip

30043-

Home

(770) 338-2119

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Raquel Roldan	12/17/1961	Mexico
Father	Ramon Roldan	12/21/1957	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Creek Ln
Grade: 7th.
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: C. Martinez
Data Entry: J. Manzo