Pancho - ARR-ELI-70

Code: ARR-ELI-70
Mercy ID: V-02524-01
Encounter Date: 06/20/2007
Last: Arreola
First: Elizabeth
DOB: 11/28/1970
County: Gwinnett
Street: 2178 Rockdale Cr.
City: Snellville
State: GA

Zip

30078-

Cell

(678) 725-0809

Family Status

Single parent w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

some high 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