Pancho - RUI-IRI-88

Code: RUI-IRI-88
Mercy ID: V-03505-01
Encounter Date: 01/10/2011
Last: Ruiz
First: Iris
DOB: 07/10/1988
County: Fulton
Street: 3021 Margaret Mitchell Rd. # 12
City: Atlanta
State: GA

Zip

30327-

Cell

(770) 369-5029

Family Status

Adult couple-no children

COB

El Salvador

Gender

Female

Housing

Doubling Up

Education Level

some high school

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