Pancho - RAM-MAR-90

Code: RAM-MAR-90
Mercy ID: V-00128-21
Encounter Date: 02/09/2000
Last: Ramirez
First: Mario
DOB: 12/28/1990
County: Dekalb
Street: 2410 North Hill Pkwy
City: Atlanta
State: GA

Zip

30341-

Home

(678) 547-0374

Family Status

Child/Youth

COB

Mexico

Gender

Male Child

Housing

Single Family

Education Level

some high school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Oralia Ramirez	07/13/1966	Mexico
Father	Jesus Ramirez	09/25/1969	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Chamblle HS
Grade: 12th.
Who Can't Pickup the Child: Solo la mama lo puede recojer
Authoritation Parent: No
Authoritation Child: No
DOY PERMISO: YES
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: J. Perez
Data Entry: K. Aleman