Pancho - SAL-ROB-02

Code: SAL-ROB-02
Mercy ID: V-00340-02
Encounter Date: 11/14/2000
Last: Salgado
First: Roberto
DOB: 06/07/1962
County: Fulton
Street: 900 conley rd apt l-5
City: Atlanta
State: GA

Zip

30354-

Home

(404) 361-8322

Family Status

Two parent family w/children

COB

Mexico

Gender

Male

Housing

Doubling Up

Education Level

Grade 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: R. Miranda
Data Entry: S. Aviña