Pancho - MAR-ELM-73

Code: MAR-ELM-73
Mercy ID: V-00188-02
Encounter Date: 04/25/2000
Last: Marquez
First: Elmer
DOB: 06/01/1973
County: Fulton
Street: 825 Tahoe Run B
City: Roswell
State: GA

Zip

30076-

Home

(678) 277-9409

Family Status

Two parent family w/children

COB

El Salvador

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: F. Perez
Data Entry: Y. Garcia