RAM-LUI-83

Code
RAM-LUI-83
Mercy ID
V-01660-02
Encounter Date
08/24/2004
Last
Ramirez
First
Luis jairo
DOB
09/30/1983
County
Fulton
Street
1505 Chattachoochee Ave. Lot 97
City
Atlanta
State
GA
Zip
30318-
Home
(404) 605-0269
Family Status
Two parent family w/children
COB
Mexico
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
NOTES
Lives With
N/A
Name of School
N/A
Grade
N/A
Who Can't Pickup the Child

Media

NO DOY PERMISO
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