Pancho - ALE-ELI-63

Code: ALE-ELI-63
Mercy ID: V-00213-01
Encounter Date: 05/17/2000
Last: Alejandre
First: Elizabeth
DOB: 11/10/1963
County: Dekalb
Street: 2518 skyland dr apt 18b
City: Atlanta
State: GA

Zip

30319-

Home

(404) 633-2636

Family Status

Single adult

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. Manzo
Data Entry: S. Aviña