Pancho - MEL-ALD-77

Code: MEL-ALD-77
Mercy ID: V-01742-02
Encounter Date: 11/09/2004
Last: Melgarejo
First: Aldo
DOB: 10/10/1977
County: Gwinnett
Street: Pirkle Rd. Apt 117
City: Norcross
State: GA

Zip

30093-

Home

(770) 925-7646

Family Status

Adult coupie-no 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
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