Pancho - RES-ARL-82

Code: RES-ARL-82
Mercy ID: V-00342-01
Encounter Date: 11/15/2000
Last: Resendis
First: Arlin
DOB: 01/21/1982
County: Gwinnett
Street: 3087 Ferrite Loop Apt -B
City: Lawrencevilli
State: GA

Zip

30044-

Home

(678) 380-6968

Family Status

Two parent family w/children

COB

Mexico

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: 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: J. Perez
Data Entry: D. Gomez