Pancho - SAB-MAR-74

Code: SAB-MAR-74
Mercy ID: V-02640-01
Encounter Date: 11/13/2007
Last: Sabrica
First: Martha
DOB: 01/25/1974
County: Gwinnett
Street: P.O. Box 47644
City: Atlanta
State: GA

Zip

30362-

Cell

(678) 875-2845

Family Status

Single adult

COB

Colombia

Gender

Female

Housing

Doubling Up

Education Level

College Degree

Home Owner

YES

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: G. Landeros
Data Entry: Volunteer