Pancho - MAR-CES-58

Code: MAR-CES-58
Mercy ID: V-00134-02
Encounter Date: 11/03/1999
Last: Hernandez
First: Cesar
DOB: 07/04/1958
County: Dekalb
Street: 2095 burton plaza ln #8
City: Atlanta
State: GA

Zip

30319-

Home

(404) 634-4574

Family Status

Adult coupie-no children

COB

El Salvador

Gender

Male

Housing

Doubling Up

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: J. Perilla
Data Entry: S. Aviña