Pancho - BOT-BLA-72

Code: BOT-BLA-72
Mercy ID: V-00959-01
Encounter Date: 09/22/1999
Last: Botello
First: Blanca
DOB: 09/20/1972
County: Not given
Street: 347 River Brook Trail
City: Riverdale
State: GA

Zip

30274-

Home

(770) 996-7343

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

some high school

Home Owner

YES

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: YES
Relative: YES
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. Manzo
Data Entry: K. Aleman