Pancho - SAN-ARI-82

Code: SAN-ARI-82
Mercy ID: V-01084-01
Encounter Date: 01/14/2003
Last: Sanchez
First: Ariana
DOB: 05/15/1982
County: Fulton
Street: 1018 Creek Lane Sideway
City: Roswell
State: GA

Zip

30076-

Home

(678) 886-6766

Family Status

Two parent family w/children

COB

Mexico

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