Pancho - SAL-KAR-88

Code: SAL-KAR-88
Mercy ID: V-02639-01
Encounter Date: 11/07/2007
Last: Salinas
First: Karla
DOB: 10/18/1988
County: Gwinnett
Street: 400 Willoaks Dr. Apt. A
City: Snellville
State: GA

Zip

30039-

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Single Family

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