Pancho - ORO-MAR-60

Code: ORO-MAR-60
Mercy ID: V-03056-01
Encounter Date: 04/21/2009
Last: Orosco
First: Maria
DOB: 02/11/1960
County: Rockdale
Street: 3230 Staneon Road
City: Conyers
State: GA

Zip

30094-

Cell

(678) 886-3221

Family Status

Adult couple-no children

COB

Mexico

Gender

Female

Housing

Single Family

Education Level

High school graduate

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