Pancho - GAR-ALI-72

Code: GAR-ALI-72
Mercy ID: V-02384-01
Encounter Date: 12/27/2006
Last: Garcia
First: Elizabeth
DOB: 12/08/1972
County: Gwinnett
Street: not given
City: Lawrenceville
State: GA

Zip

30044-

Home

(999) 999-9999

Cell

(678) 598-4509

Family Status

Two parent family w/children

COB

Colombia

Gender

Female

Housing

Not Homeless

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: G. Landeros
Data Entry: J. Manzo