Pancho - RAM-LES-02

Code: RAM-LES-02
Mercy ID: V-03403-11
Encounter Date: 09/01/2010
Last: Ramos
First: Lesly
DOB: 03/13/2002
County: Gwinnett
Street: 5343 Coventry Ct.
City: Norcross
State: GA

Zip

30071-

Cell

(404) 838-3294

Family Status

Child/Youth

COB

USA

Gender

Female Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

YES

Parents Information

	Name	DOB	COB
Mother	Fracisca Reyes	07/14/1979	Mexico
Father	Cristino Ramos	N/A	072578
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Beverwin Elem
Grade: 3rd.
Who Can't Pickup the Child
Authoritation Parent: YES
Authoritation Child: No
DOY PERMISO: YES
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: Volunteer
Data Entry: J. Manzo