Pancho - BAR-ILE-78

Code: BAR-ILE-78
Mercy ID: V-01256-01
Encounter Date: 06/16/2003
Last: Barrios alvares
First: Ileana
DOB: 06/27/1978
County: Other
Street: 3490 Chamblee Dunwoody Way K1
City: Chamblee
State: GA

Zip

30341-

Home

(678) 547-0335

Family Status

Two parent family w/children

COB

Guatemala

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: YES
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