Pancho - ACO-FRA-60

Code: ACO-FRA-60
Mercy ID: V-01599-02
Encounter Date: 05/18/2004
Last: Acosta
First: Francisco
DOB: 10/10/1960
County: Dekalb
Street: 3408 Orchard St.
City: Hapeville
State: GA

Zip

30354-

Home

(404) 209-7146

Family Status

Two parent family w/children

Gender

Male

Housing

Doubling Up

Education Level

some high school

Home Owner

No

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