Pancho - RAM-ERI-94

Code: RAM-ERI-94
Mercy ID: V-00128-22
Encounter Date: 02/09/2000
Last: Ramirez
First: Erik
DOB: 01/20/1994
County: Dekalb
Street: 2410 North Hill Pkwy
City: Atlanta
State: GA

Zip

30341-

Home

(678) 547-0374

Family Status

Child/Youth

COB

USA

Gender

Male Child

Housing

Single Family

Education Level

Grade 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: Chamblee High School
Grade: 9th.
Who Can't Pickup the Child
Authoritation Parent: No
Authoritation Child: No
DOY PERMISO: YES
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: J. Perez
Data Entry: D. Gomez