Pancho - ALV-DEL-73

Code: ALV-DEL-73
Mercy ID: V-03144-01
Encounter Date: 08/26/2009
Last: Alvarez
First: Delmy
DOB: 06/16/1973
County: Gwinnett
Street: 1695 Graves Apt. 1021
City: Norcross
State: GA

Zip

30093-

Cell

(678) 200-2649

Family Status

Two parent family w/children

COB

El Salvador

Gender

Female

Housing

Single Family

Education Level

Grade school

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: 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