Pancho - ZAM-ALE-68

Code: ZAM-ALE-68
Mercy ID: V-00043-01
Encounter Date: 01/11/2000
Last: Zamundio
First: Alejandra
DOB: 04/04/1968
County: Cobb
Street: 2525 s ward st
City: Smyrna
State: GA

Zip

30080-

Family Status

Adult coupie-no children

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

Vocational/Technical

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. Manzo
Data Entry: S. Aviña