Pancho - MOR-RAM-58

Code: MOR-RAM-58
Mercy ID: V-03092-02
Encounter Date: 06/09/2009
Last: Moreno
First: Ramiro
DOB: 11/19/1958
County: Dekalb
Street: 1877-A Skyland Road
City: Atlanta
State: GA

Zip

30319-

Cell

(404) 903-8712

Family Status

Two parent family w/children

COB

Mexico

Gender

Male

Housing

Single Family

Education Level

Adult, no formal education

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