Pancho - SOS-ABU-65

Code: SOS-ABU-65
Mercy ID: V-00547-01
Encounter Date: 06/18/2010
Last: Sosa
First: Abundiz
DOB: 05/18/1965
County: Gwinnett
Street: 1982 Azalea DDr. # B
City: Larenceville
State: GA

Zip

30034-

Cell

(678) 536-3510

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

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: G. Landeros
Data Entry: J. Manzo