Pancho - RUI-ROB-73

Code: RUI-ROB-73
Mercy ID: V-00393-02
Encounter Date: 01/23/2001
Last: Ruiz
First: Roberto
DOB: 12/01/1973
County: Fulton
Street: 381 Industrial Ln.
City: Lawrenceville
State: GA

Zip

30044-

Home

(770) 522-9320

Cell

(678) 378-7956

Family Status

Adult coupie-no children

COB

Mexico

Gender

Male

Housing

Not Homeless

Education Level

some high 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
Lives With: N/A
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: R. Miranda
Data Entry: D. Gomez