Pancho - JAL-JES-74

Code: JAL-JES-74
Mercy ID: V-01894-01
Encounter Date: 03/28/2005
Last: Jallu
First: Jessica
DOB: 07/07/1974
County: Gwinnett
Street: 930 Claerdge Lane
City: Lawrenceville
State: GA

Zip

30045-

Home

(678) 407-0460

Family Status

Two parent family w/children

COB

Honduras

Gender

Female

Housing

Not Homeless

Education Level

College Degree

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