Pancho - PER-ALB-63

Code: PER-ALB-63
Mercy ID: V-02155-01
Encounter Date: 01/26/2006
Last: Peraza
First: Alba
DOB: 02/08/1963
County: Gwinnett
Street: 61 Oxford Brookway
City: Lawrenceville
State: GA

Zip

30045-

Cell

(770) 572-4006

Family Status

Single parent w/children

COB

El Salvador

Gender

Female

Housing

Not Homeless

Education Level

Grade school

Home Owner

YES

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: J. Perez
Data Entry: R. Gonzalez