Pancho - GON-ARM-70

Code: GON-ARM-70
Mercy ID: V-01174-02
Encounter Date: 03/18/2003
Last: Gonzalez
First: Armando
DOB: 04/04/1970
County: Gwinnett
Street: 2800 Herrington Wood Court #3204
City: Lawrenceville
State: GA

Zip

30044-

Home

(678) 992-2407

Family Status

Two parent family w/children

COB

Colombia

Gender

Male

Housing

Doubling Up

Education Level

College Degree

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: R. Miranda
Data Entry: K. Aleman