Pancho - NOV-OSC-84

Code: NOV-OSC-84
Mercy ID: V-02402-02
Encounter Date: 01/30/2007
Last: Nova
First: Oscar
DOB: 12/10/1984
County: Fulton
Street: 380 Lakeside Dr.
City: Fairburn
State: GA

Zip

30213-

Home

(770) 892-3392

Cell

(770) 896-6815

Family Status

Single adult

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