Pancho - HER-JUL-60

Code: HER-JUL-60
Mercy ID: V-02764-01
Encounter Date: 04/21/2008
Last: Hernandez
First: Julia
DOB: 10/01/1960
County: Dekalb
Street: 3256 Price Hill Circle Apt. A-25
City: Atlanta
State: GA

Zip

30312-

Cell

(404) 235-4853

Family Status

Adult couple-no children

COB

Mexico

Gender

Female

Housing

Doubling Up

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