Pancho - JAU-MAR-71

Code: JAU-MAR-71
Mercy ID: V-03069-01
Encounter Date: 05/13/2009
Last: Jaubert
First: Mariela
DOB: 09/27/1971
County: Newton
Street: 35 Whispering Dr.
City: Covington
State: GA

Zip

30016-

Home

(689) 658-6216

Cell

(678) 629-6100

Family Status

Two parent family w/children

COB

Costa Rica

Gender

Female

Housing

Single Family

Education Level

College Degree

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