Pancho - BRU-MAR-79

Code: BRU-MAR-79
Mercy ID: V-01901-01
Encounter Date: 04/20/2005
Last: Bruno
First: Mareli
DOB: 12/27/1979
County: Fulton
Street: 845 Pair Ridge Circle #C
City: Roswell
State: GA

Zip

30076-

Home

(770) 815-2650

Family Status

Adult coupie-no children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

some high 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: G. Landeros
Data Entry: K. Aleman