Pancho - FLO-GER-80

Code: FLO-GER-80
Mercy ID: V-00403-02
Encounter Date: 01/30/2001
Last: Flores
First: Gerardo
DOB: 11/02/1980
County: Dekalb
Street: 87 Gunter St. Apt3
City: Mariettta
State: GA

Zip

30060-

Home

(770) 794-6681

Family Status

Two parent family w/children

COB

Mexico

Gender

Male

Housing

Doubling Up

Education Level

some high 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: K. Aleman