Pancho - FRA-ANT-68

Code: FRA-ANT-68
Mercy ID: V-01576-02
Encounter Date: 04/20/2004
Last: Franco
First: Antonio
DOB: 03/17/1968
County: Fulton
Street: 710 Murphy Ave. SW Apt A12
City: Atlanta
State: GA

Zip

30310-

Home

(404) 219-4067

Family Status

Adult coupie-no children

COB

Mexico

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: R. Miranda
Data Entry: K. Aleman