Pancho - BOC-DOL-78

Code: BOC-DOL-78
Mercy ID: V-00210-01
Encounter Date: 05/16/2000
Last: Bocanegra
First: Dolores
DOB: 11/09/1978
County: Cobb
Street: 1034 Franklin Rd Apt J-6
City: Marietta
State: GA

Zip

30067-

Family Status

Adult coupie-no children

COB

Mexico

Gender

Female

Housing

Doubling Up

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: J. Perez
Data Entry: D. Gomez