Pancho - FRI-MAR-68

Code: FRI-MAR-68
Mercy ID: V-02979-02
Encounter Date: 01/05/2009
Last: Frias
First: Marcos
DOB: 02/05/1968
County: Fulton
Street: 1505 Briarhill Lane NE
City: Atlanta
State: GA

Zip

30324-

Cell

(678) 851-5410

Family Status

Adult couple-no children

COB

Chile

Gender

Male

Housing

Single Family

Education Level

High school graduate

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