Pancho - AUS-CAR-62

Code: AUS-CAR-62
Mercy ID: V-00194-02
Encounter Date: 01/01/1999
Last: Austria
First: Carmelo
DOB: 10/03/1962
County: Fulton
Street: 66 northwood dr apt 243
City: Atlanta
State: GA

Zip

30342-

Home

(404) 459-0754

Family Status

Two parent family w/children

COB

Mexico

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: D. Gomez