Pancho - MAN-MAR-77

Code: MAN-MAR-77
Mercy ID: V-02778-01
Encounter Date: 05/13/2008
Last: Manzanares
First: Marlin
DOB: 12/23/1977
County: Fulton
Street: 597 Eaglees Crest
City: Roswell
State: GA

Zip

30076-

Cell

(678) 531-8027

Family Status

Two parent family w/children

COB

Honduras

Gender

Female

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: YES
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. Perez
Data Entry: J. Manzo