Pancho - GAR-DEL-79

Code: GAR-DEL-79
Mercy ID: V-02875-01
Encounter Date: 08/18/2008
Last: Garcia
First: Delmy
DOB: 10/15/1979
County: Floyd
Street: 39 Vilma Drive
City: Rome
State: GA

Zip

30165-

Cell

(706) 266-4001

Family Status

Two parent family w/children

COB

Guatemala

Gender

Female

Housing

Single Family

Education Level

Preschool

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: 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