Pancho - CAS-SAR-76

Code: CAS-SAR-76
Mercy ID: V-02673-01
Encounter Date: 12/14/2007
Last: Castellananos
First: Sara
DOB: 09/12/1976
County: Rockdale
Street: 1389 Irwin Bridge B
City: Conyers
State: GA

Zip

30012-

Cell

(678) 392-7625

Family Status

Two parent family w/children

COB

Mexico

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: YES
Relative: YES
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