Pancho - ALV-LOR-78

Code: ALV-LOR-78
Mercy ID: V-01909-01
Encounter Date: 05/18/2005
Last: Alvarado
First: Lorenza
DOB: 04/04/1978
County: Clayton
Street: 475 Valle Hill Rd.
City: Riverdale
State: GA

Zip

30274-

Cell

(770) 843-9749

Family Status

Single adult

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

High school graduate

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