Pancho - ARR-SIL-67

Code: ARR-SIL-67
Mercy ID: B-00006-01
Encounter Date: 01/22/1997
Last: Arredondo
First: Silvia
DOB: 12/06/1967
County: Not given
Street: 00000 Not given
City: Not given
State: GA

Zip

00000-0000

Home

(770) 908-9779

Family Status

Unknow/Unreported

COB

Mexico

Gender

Female

Housing

Other

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: J. Perez
Data Entry: K. Aleman