Pancho - RAM-VIC-98

Code: RAM-VIC-98
Mercy ID: V-00222-22
Encounter Date: 06/14/2000
Last: Ramirez
First: Victor
DOB: 04/09/1998
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

Child, not in 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: 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: K. Aleman
Data Entry: D. Gomez