Pancho - ORE-VIC-66

Code: ORE-VIC-66
Mercy ID: V-00455-02
Encounter Date: 05/08/2001
Last: Orellana
First: Victor
DOB: 02/14/1966
County: Cobb
Street: 410 McArthur Dr.
City: Marietta
State: GA

Zip

30060-

Home

(770) 383-9805

Family Status

Two parent family w/children

COB

Belize

Gender

Male

Housing

Doubling Up

Education Level

some high school

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: K. Aleman