Pancho - OLV-ARA-81

Code: OLV-ARA-81
Mercy ID: V-01422-01
Encounter Date: 11/19/2003
Last: Olvera
First: Araceli
DOB: 10/17/1981
County: Dekalb
Street: Aztec Rd. Apt 42
City: Doraville
State: GA

Zip

33041-

Home

(770) 986-4118

Family Status

Single parent w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

Grade 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. Manzo
Data Entry: K. Aleman