Pancho - CAR-GEN-69

Code: CAR-GEN-69
Mercy ID: V-02877-02
Encounter Date: 10/21/2008
Last: Cardenas
First: Genaro
DOB: 02/21/1969
County: Fulton
Street: 1540 Vassar Ave. SW
City: College park
State: GA

Zip

30337-

Cell

(770) 891-1259

Family Status

Single adult

COB

Mexico

Gender

Male

Housing

Other

Education Level

Grade school

Home Owner

YES

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