Pancho - HOP-DUL-82

Code: HOP-DUL-82
Mercy ID: V-02772-01
Encounter Date: 04/29/2008
Last: Hopton
First: Dulce
DOB: 11/14/1982
County: Hall
Street: 5316 Amhers Way
City: Flowerybranch
State: GA

Zip

30542-

Cell

(678) 887-5405

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Single Family

Education Level

some high school

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: 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: J. Perez
Data Entry: J. Manzo