Pancho - RAM-ANG-80

Code: RAM-ANG-80
Mercy ID: V-01985-01
Encounter Date: 08/19/2005
Last: Ramirez
First: Angelica
DOB: 01/28/1980
County: Cherokee
Street: 5742 Bells Ferry #32
City: Acworth
State: GA

Zip

30102-

Home

(678) 494-2377

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

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: YES
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: J. Perez
Data Entry: K. Aleman