Pancho - ANG-OLG-70

Code: ANG-OLG-70
Mercy ID: V-03493-01
Encounter Date: 12/16/2010
Last: Anguiano
First: Olga
DOB: 06/18/1970
County: Rockdale
Street: 140 West Meadow Road #12
City: Conyers
State: GA

Zip

30012-

Cell

(678) 405-1018

Family Status

Two parent family w/children

COB

El Salvador

Gender

Female

Housing

Doubling Up

Education Level

Preschool

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: 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: G. Landeros
Data Entry: J. Manzo