Pancho - RAM-AND-06

Code: RAM-AND-06
Mercy ID: V-01983-21
Encounter Date: 05/16/2007
Last: Ramos
First: Andres
DOB: 08/25/2006
County: Dekalb
Street: 81 Pearl Lane
City: Chamblee
State: GA

Zip

30341-

Home

(678) 887-8435

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Doubling Up

Education Level

Child, not in school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Angelica Martinez	06/28/1980	Mexico
Father	Cruz Ramos	N/A	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
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: Y. Garcia
Data Entry: J. Manzo