Pancho - BOL-APA-51

Code: BOL-APA-51
Mercy ID: V-00471-01
Encounter Date: 04/10/2001
Last: Bolognhesi
First: Aparecida
DOB: 09/09/1951
County: Fulton
Street: 115 Aldwych Lane
City: Atlanta
State: GA

Zip

30328-

Home

(678) 443-8626

Family Status

Adult coupie-no children

COB

Brazil

Gender

Female

Housing

Doubling Up

Education Level

Other

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: J. Perez
Data Entry: K. Aleman