Pancho - FER-ADE-70

Code: FER-ADE-70
Mercy ID: V-02214-01
Encounter Date: 03/17/2006
Last: Fernandez
First: Adelaida
DOB: 04/09/1970
County: Dekalb
Street: 3985 Buford Hwy
City: Atlanta
State: GA

Zip

30329-

Home

(678) 683-8852

Family Status

Single adult

COB

Mexico

Gender

Female

Housing

Transitional

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: G. Landeros
Data Entry: R. Gonzalez