Pancho - OLI-CAR-80

Code: OLI-CAR-80
Mercy ID: V-02262-02
Encounter Date: 01/02/2007
Last: Oliviera
First: Carlos
DOB: 10/28/1980
County: Cobb
Street: 2085 Roswell Rd. Apt. 1831
City: Marietta
State: GA

Zip

30062-

Home

(770) 321-9701

Family Status

Two parent family w/children

COB

Brazil

Gender

Male

Housing

Doubling Up

Education Level

Grade 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: 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: J. Manzo
Data Entry: J. Manzo