Pancho - RAM-LEO-09

Code: RAM-LEO-09
Mercy ID: V-03136-24
Encounter Date: 11/10/2010
Last: Ramos
First: Leonardo
DOB: 07/08/2009
County: Cobb
Street: 388 Phillips Dr.
City: Marietta
State: GA

Zip

30060-

Cell

(678) 663-7453

Family Status

Child/Youth

COB

USA

Gender

Male Child

Housing

Single Family

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Evangelina Rodriguez	02/07/1974	Mexico
Father	Leonardo Ramos	07/07/1983	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: YES
Authoritation Child: No
DOY PERMISO: YES
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: Volunteer
Data Entry: J. Manzo