Pancho - HER-BEA-83

Code: HER-BEA-83
Mercy ID: V-02802-01
Encounter Date: 05/27/2008
Last: Hernandez
First: Beatriz
DOB: 08/27/1983
County: Gwinnett
Street: 21445 Hammot Drive
City: Norcross
State: GA

Zip

30071-

Cell

(678) 891-8589

Family Status

Two parent family w/children

COB

Honduras

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