Pancho - PER-ANG-82

Code: PER-ANG-82
Mercy ID: V-02641-01
Encounter Date: 11/12/2007
Last: Peralta
First: Angeles
DOB: 09/15/1982
County: Cobb
Street: 910 C Linda Lane
City: Marietta
State: GA

Zip

30060-

Cell

(770) 866-2788

Family Status

Adult couple-no children

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

Vocational/Technical

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