Pancho - MUR-ANA-65

Code: MUR-ANA-65
Mercy ID: V-02133-01
Encounter Date: 01/12/2006
Last: Murcia
First: Ana
DOB: 09/13/1965
County: Dekalb
Street: 3565 Buford Hwy #3
City: Atlanta
State: GA

Zip

30329-

Cell

(404) 315-0519

Family Status

Single parent w/children

COB

El Salvador

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: R. Gonzalez