Pancho - RAM-MIC-93

Code: RAM-MIC-93
Mercy ID: V-00222-21
Encounter Date: 06/14/2000
Last: Ramirez
First: Michael
DOB: 08/24/1993
County: Dekalb
Street: 214 Carroll Cir
City: Chamblee
State: GA

Zip

30341-

Home

(770) 458-1899

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Maria Ramirez	02/11/1971	Mexico
Father	Miguel Ramirez	03/17/1970	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Parents
Name of School: Dresden Elem
Grade: 2nd.
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: K. Aleman
Data Entry: D. Gomez