Pancho - RIC-ELI-72

Code: RIC-ELI-72
Mercy ID: V-02459-01
Encounter Date: 04/09/2007
Last: Ricata
First: Elizabeth
DOB: 07/26/1972
County: Dekalb
Street: 1750 Briarwood Rd. # A-11
City: Atlanta
State: GA

Zip

30329-

Cell

(678) 764-4351

Family Status

Two parent family w/children

COB

Perú

Gender

Female

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: 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: J. Manzo