Pancho - GAR-GRA-73

Code: GAR-GRA-73
Mercy ID: V-02786-01
Encounter Date: 05/15/2008
Last: Garcia
First: Graciela
DOB: 11/26/1973
County: Hall
Street: 2213 Fouth Oaks
City: Gainsville
State: GA

Zip

30507-

Cell

(678) 656-1683

Family Status

Single parent w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

some high 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: 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: J. Manzo