Pancho - CUE-FRA-67

Code: CUE-FRA-67
Mercy ID: V-00185-02
Encounter Date: 05/09/2000
Last: Cuevas
First: Francisco
DOB: 11/23/1967
County: Dekalb
Street: 3398 Navajo Trail
City: Smyrna
State: GA

Zip

30080-

Home

(770) 801-9051

Family Status

Two parent family w/children

COB

Mexico

Gender

Male

Housing

Doubling Up

Education Level

Preschool

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: R. Miranda
Data Entry: Y. Garcia