Pancho - ARE-ROB-65

Code: ARE-ROB-65
Mercy ID: V-00003-02
Encounter Date: 01/18/2000
Last: Arellano
First: Roberto
DOB: 06/23/1965
County: Gwinnett
Street: 812 wyn brook apt 4
City: Norcross
State: GA

Zip

30071-

Home

(404) 290-3269

Family Status

Two parent family w/children

COB

Mexico

Gender

Male

Housing

Doubling Up

Education Level

High school graduate

Home Owner

YES

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: F. Perez
Data Entry: S. Aviña