Pancho - BON-OSC-83

Code: BON-OSC-83
Mercy ID: V-01291-02
Encounter Date: 07/22/2003
Last: Bonilla
First: Oscar
DOB: 01/30/1983
County: Fulton
Street: 5013 Gardern Dr.
City: Alpharetta
State: GA

Zip

30004-

Home

(770) 374-6227

Family Status

Adult coupie-no children

COB

Mexico

Gender

Male

Housing

Doubling Up

Education Level

High school graduate

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