Pancho - ALV-MAR-52

Code: ALV-MAR-52
Mercy ID: V-01621-01
Encounter Date: 06/08/2004
Last: Valdez
First: Maria luisa
DOB: 10/14/1952
County: Cobb
Street: 1153-E Hagood Cir.
City: Marietta
State: GA

Zip

30062-

Home

(770) 485-3144

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. Manzo
Data Entry: K. Aleman