Pancho - CAR-MAR-66

Code: CAR-MAR-66
Mercy ID: V-02391-01
Encounter Date: 01/19/2007
Last: Cardenas
First: Maria de jesus
DOB: 12/11/1966
County: Gwinnett
Street: 926 Hilford Ct.
City: Lawrenceville
State: GA

Zip

30045-

Family Status

Single parent w/children

COB

Perú

Gender

Female

Housing

Doubling Up

Education Level

Grade 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: 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: J. Manzo