Pancho - MAG-EVE-76

Code: MAG-EVE-76
Mercy ID: V-03521-01
Encounter Date: 02/01/2011
Last: Magaña
First: Evelin
DOB: 12/06/1976
County: Gwinnett
Street: 5508 Willow Drook
City: Norcross
State: GA

Zip

30093-

Cell

(678) 683-3693

Family Status

Single parent w/children

COB

El Salvador

Gender

Female

Housing

Single Family

Education Level

Grade 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: 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