Pancho - VIL-ALM-79

Code: VIL-ALM-79
Mercy ID: V-02099-01
Encounter Date: 11/09/2005
Last: Villanueva
First: Alma
DOB: 07/03/1979
County: Douglass
Street: 142 Chikasaw Lane
City: Austell
State: GA

Zip

30168-

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

College Degree

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: R. Gonzalez