RAM-JOS-83

Code
RAM-JOS-83
Mercy ID
V-03417-02
Encounter Date
09/21/2010
Last
Ramos
First
Jose
DOB
01/05/1983
County
Fulton
Street
3804 Martin Luther King Jr. Dr.
City
Atlanta
State
GA
Zip
30331-
Cell
(404) 399-4278
Family Status
Single adult
COB
Honduras
Gender
Male
Housing
Doubling Up
Education Level
Grade school
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
NOTES
Lives With
N/A
Name of School
N/A
Grade
N/A
Who Can't Pickup the Child

Media

NO DOY PERMISO
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