Pancho - CUE-ALF-80

Code: CUE-ALF-80
Mercy ID: V-02538-02
Encounter Date: 08/28/2007
Last: Cuenca
First: Alfonso
DOB: 12/11/1980
County: Dekalb
Street: 2459 Wagon Trace
City: Duluth
State: GA

Zip

30096-

Cell

(678) 799-6225

Family Status

Single adult

COB

Mexico

Gender

Male

Housing

Doubling Up

Education Level

High school graduate

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: No
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. Manzo
Data Entry: J. Manzo