Pancho - RAM-GEN-99

Code: RAM-GEN-99
Mercy ID: V-02935-11
Encounter Date: 11/12/2008
Last: Ramos
First: Genesis
DOB: 01/20/1999
County: Gwinnett
Street: 310 Rebeca St.
City: Lawrenceville
State: GA

Zip

30045-

Cell

(678) 327-6754

Family Status

Child/Youth

COB

USA

Gender

Female Child

Housing

Single Family

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Laura Revillat	12/01/1966	El Salvador
Father	Juan J. Ramos	05/07/1966	El Salvador
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Lawrenceville Elem.
Grade: 4th.
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