Pancho - SOL-MAR-60

Code: SOL-MAR-60
Mercy ID: V-00897-01
Encounter Date: 04/17/2002
Last: Solano
First: Marta
DOB: 12/02/1960
County: Gwinnett
Street: 925 Horizon Parkway
City: Buford
State: GA

Zip

30518-

Home

(770) 932-2174

Family Status

Two parent family w/children

COB

Costa Rica

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: 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: K. Aleman