Pancho - DEL-GUA-60

Code: DEL-GUA-60
Mercy ID: V-01527-01
Encounter Date: 03/11/2004
Last: Delgado
First: Guadalupe
DOB: 12/12/1960
County: Gwinnett
Street: 000 not given
City: Lilbur
State: GA

Zip

00000-0000

Home

(678) 924-6846

Family Status

Adult coupie-no children

COB

Mexico

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: 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