Pancho - ALD-MAR-63

Code: ALD-MAR-63
Mercy ID: V-02509-01
Encounter Date: 06/06/2007
Last: Aldana
First: Maria
DOB: 10/18/1963
County: Gwinnett
Street: 1620 Purcel Rd. Lot 85
City: Lawrenceville
State: GA

Zip

30043-

Home

(770) 339-9885

Cell

(404) 789-6434

Family Status

Adult couple-no children

COB

El Salvador

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