Pancho - ROS-SOL-77

Code: ROS-SOL-77
Mercy ID: V-02543-01
Encounter Date: 07/03/2007
Last: Rosas
First: Soledad
DOB: 11/15/1977
County: Cobb
Street: 1956 Bergerac St.
City: Marietta
State: GA

Zip

30008-

Family Status

Adult couple-no children

COB

Colombia

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: J. Manzo