Pancho - GAR-OLI-82

Code: GAR-OLI-82
Mercy ID: V-01820-01
Encounter Date: 01/27/2005
Last: Garcia
First: Olivia
DOB: 04/07/1982
County: Newton
Street: 20 Oak View Dr.
City: Covington
State: GA

Zip

30016-

Home

(770) 655-1320

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. Perez
Data Entry: K. Aleman