Pancho - YAÑ-ELI-75

Code: YAÑ-ELI-75
Mercy ID: V-02050-01
Encounter Date: 09/15/2005
Last: Yañez
First: Elizabeth
DOB: 08/05/1975
County: Gwinnett
Street: 350 Tirkle Alley
City: Bufford
State: GA

Zip

30518-

Cell

(678) 714-7346

Family Status

Adult coupie-no 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: R. Gonzalez