Pancho - SOS-HAY-69

Code: SOS-HAY-69
Mercy ID: V-00244-01
Encounter Date: 06/28/2000
Last: Sosa
First: Hayde
DOB: 07/11/1969
County: Dekalb
Street: 2781 shallowford rd apt
City: Atlanta
State: GA

Zip

30319-

Family Status

Single parent w/children

COB

Honduras

Gender

Female

Housing

Doubling Up

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: 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. Perez
Data Entry: S. Aviña