Pancho - GAR-SAN-80

Code: GAR-SAN-80
Mercy ID: V-01189-01
Encounter Date: 04/21/2003
Last: Garcia
First: Sandra
DOB: 08/05/1980
County: Gwinnett
Street: 6306 Magnolia Point
City: Duluth
State: GA

Zip

30096-

Home

(678) 380-8793

Family Status

Adult coupie-no children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

High school graduate

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: YES
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. Manzo
Data Entry: K. Aleman