Pancho - ALF-GRI-67

Code: ALF-GRI-67
Mercy ID: V-03395-01
Encounter Date: 08/31/2010
Last: Alfaro
First: Griselda
DOB: 02/25/1967
County: Cowetta
Street: 502 Snowfall Terrace
City: Palmetto
State: GA

Zip

30268-

Cell

(770) 771-2285

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Single Family

Education Level

Some College

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