Pancho - GAR-YOS-79

Code: GAR-YOS-79
Mercy ID: V-02006-01
Encounter Date: 07/27/2005
Last: Garcia
First: Yoscy
DOB: 05/30/1979
County: Dekalb
Street: 3637 Pleasant Hill Rd.
City: Atlanta
State: GA

Zip

30340-

Home

(240) 606-8329

Family Status

Two parent family 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: 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: G. Landeros
Data Entry: K. Aleman