Pancho - RAM-AND-96

Code: RAM-AND-96
Mercy ID: V-01119-21
Encounter Date: 02/19/2003
Last: Ramirez
First: Andy
DOB: 05/25/1996
County: Dekalb
Street: 1368 West Austin Rd.
City: Decatur
State: GA

Zip

30032-

Home

(404) 289-2632

Family Status

Attached youth

COB

Mexico

Gender

Male Child

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Martha Vasquez	01/30/1960	Mexico
Father	Ruben Ramirez	05/01/1965	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
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: Y. Garcia
Data Entry: K. Aleman