Pancho - ALO-MAR-81

Code: ALO-MAR-81
Mercy ID: V-02064-01
Encounter Date: 10/12/2005
Last: Alcocer
First: Maria veronica
DOB: 02/17/1981
County: Gwinnett
Street: 5015 Bentcreek
City: Sugar hill
State: GA

Zip

30518-

Home

(678) 546-4902

Family Status

Two parent family w/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: YES
Relative: YES
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. Perez
Data Entry: R. Gonzalez