Pancho - UAÑ-ADR-81

Code: UAÑ-ADR-81
Mercy ID: V-02368-02
Encounter Date: 01/02/2007
Last: Yañez
First: Adrian
DOB: 10/15/1981
County: Dekalb
Street: 1444 N. Cliff Valley Way Apt. A
City: Atlanta
State: GA

Zip

30319-

Cell

(678) 437-3975

Family Status

Two parent family w/children

COB

Mexico

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