Pancho - ALV-LUI-76

Code: ALV-LUI-76
Mercy ID: V-01787-02
Encounter Date: 02/22/2005
Last: Alvarado
First: Luis
DOB: 01/16/1976
County: Barrow
Street: 827 Georgetown Dr.
City: Winder
State: GA

Zip

30680-

Home

(770) 867-5863

Family Status

Two parent family w/children

COB

Mexico

Gender

Male

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: 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: R. Miranda
Data Entry: E. Lavizzo