Pancho - RAM-CAR-88

Code: RAM-CAR-88
Mercy ID: V-00011-11
Encounter Date: 01/05/2000
Last: Ramirez vasquez
First: Carla
DOB: 08/12/1988
County: Gwinnett
Street: 1312 Stoney Brook Dr
City: Tucker
State: GA

Zip

30084-

Home

(770) 496-4558

Family Status

Attached youth

COB

Mexico

Gender

Female Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Rafaela Camacho	02/06/1962	Mexico
Father	Ernesto Ramirez	03/06/1970	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: lilburn
Grade: 6th.
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: J. Manzo
Data Entry: D. Gomez