Pancho - AGU-LEY-77

Code: AGU-LEY-77
Mercy ID: V-02929-01
Encounter Date: 10/28/2008
Last: Aguirre
First: Leyvi
DOB: 07/26/1977
County: Gwinnett
Street: 665 Rockbridge Road
City: Lilburn
State: GA

Zip

30047-

Cell

(404) 552-4765

Family Status

Two parent family w/children

COB

El Salvador

Gender

Female

Housing

Doubling Up

Education Level

H.S. equivalency diploma

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: 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