Pancho - RAM-ADR-00

Code: RAM-ADR-00
Mercy ID: V-03462-11
Encounter Date: 10/27/2010
Last: Ramirez
First: Adriana
DOB: 12/31/2000
County: Dekalb
Street: 2761 Shallowford Rd. Apt. A
City: Atlanta
State: GA

Zip

30341-

Cell

(770) 885-6938

Family Status

Child/Youth

COB

USA

Gender

Female Child

Housing

Single Family

Education Level

some high school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Maryuri Mejia	01/06/1977	Honduras
Father	Jose Luis Ramirez	01/13/1978	Honduras
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Dresden Elem
Grade: 4th.
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