Pancho - RAM-SAR-71

Code: RAM-SAR-71
Mercy ID: V-02309-01
Encounter Date: 07/08/2006
Last: Ramos
First: Sara
DOB: 03/15/1971
County: Dekalb
Street: 2479 Skyland Road
City: Atlanta
State: GA

Zip

30319-

Cell

(678) 608-9773

Family Status

Single parent w/children

COB

Honduras

Gender

Female

Housing

Not Homeless

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: G. Landeros
Data Entry: J. Manzo