Pancho - PAL-LEY-82

Code: PAL-LEY-82
Mercy ID: V-02985-01
Encounter Date: 01/16/2009
Last: Palma
First: Leydi
DOB: 10/23/1982
County: Fulton
Street: 300 Carpenter Dr.
City: Atlanta
State: GA

Zip

30328-

Cell

(678) 698-9918

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

Grade 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: 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: J. Perez
Data Entry: J. Manzo