Pancho - RUE-CLA-77

Code: RUE-CLA-77
Mercy ID: V-02976-01
Encounter Date: 12/23/2008
Last: Rueda
First: Claudia
DOB: 02/04/1977
County: Other
Street: 24642 Volterra Ct. Lutz
City: Florida
State: FL

Zip

33559-

Home

(813) 948-0475

Family Status

Adult couple-no children

COB

Colombia

Gender

Female

Housing

Doubling Up

Education Level

Some College

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: J. Perez
Data Entry: J. Manzo