Pancho - ALD-EME-62

Code: ALD-EME-62
Mercy ID: V-02583-01
Encounter Date: 08/29/2007
Last: Aldana
First: Emerita
DOB: 09/12/1962
County: Gwinnett
Street: 1620 Puesel Rd. L-59
City: Lawrenceville
State: GA

Zip

30043-

Home

(770) 339-9885

Family Status

Two parent family w/children

COB

El Salvador

Gender

Female

Housing

Not Homeless

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: 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. Perez
Data Entry: J. Manzo