Pancho - ARE-ANG-67

Code: ARE-ANG-67
Mercy ID: V-00837-01
Encounter Date: 01/29/2002
Last: Arellano
First: Angeles maria de
DOB: 11/02/1967
County: Cobb
Street: 486 Romona St.
City: Marietta
State: GA

Zip

30060-

Home

(678) 354-3327

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

Some College

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. Manzo
Data Entry: K. Aleman