Pancho - SIL-RUT-83

Code: SIL-RUT-83
Mercy ID: V-01796-01
Encounter Date: 01/05/2005
Last: Silveria
First: Ruth
DOB: 01/12/1983
County: Dekalb
Street: Not given
City: Not given
State: GA

Zip

00000-0000

Home

(678) 755-5946

Family Status

Adult coupie-no children

COB

Uruguay

Gender

Female

Housing

Doubling Up

Education Level

H.S. equivalency diploma

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: J. Perez
Data Entry: K. Aleman