Pancho - GON-ZUL-71

Code: GON-ZUL-71
Mercy ID: V-02183-01
Encounter Date: 02/23/2006
Last: Gonzalez
First: Zuluna
DOB: 10/15/1971
County: Cobb
Street: 749 Holly Circle
City: Marietta
State: GA

Zip

30009-

Cell

(678) 656-1593

Family Status

Adult coupie-no children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

Some College

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