Pancho - RAM-CRY-05

Code: RAM-CRY-05
Mercy ID: V-03403-12
Encounter Date: 09/01/2010
Last: Ramos
First: Crystal
DOB: 04/29/2005
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

No

Parents Information

	Name	DOB	COB
Mother	Francisca Reyes	07/14/1979	Mexico
Father	Cristina Ramos	07/25/1978	Mexico
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Beverwin Elem
Grade: Kinder
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