Pancho - ROJ-OSE-79

Code: ROJ-OSE-79
Mercy ID: V-02118-02
Encounter Date: 12/20/2005
Last: Rojo
First: Oseas
DOB: 03/21/1979
County: Dekalb
Street: 3515 Pleasendale Road Apt. 11-372
City: Doraville
State: GA

Zip

30340-

Home

(404) 235-5112

Cell

(770) 369-4134

Family Status

Single adult

COB

Mexico

Gender

Male

Housing

Single Family

Education Level

High school graduate

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: F. Perez
Data Entry: R. Gonzalez