Pancho - ROD-HIL-58

Code: ROD-HIL-58
Mercy ID: V-01200-01
Encounter Date: 04/24/2003
Last: Rodriguez
First: Hilda
DOB: 06/02/1958
County: Forsyth
Street: 8210 River Mill Ct.
City: Ballground
State: GA

Zip

30107-

Home

(678) 776-2303

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

Vocational/Technical

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: 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