Pancho - ALO-MAR-77

Code: ALO-MAR-77
Mercy ID: V-02525-01
Encounter Date: 06/22/2007
Last: Alonzo
First: Marbella
DOB: 12/29/1977
County: Gwinnett
Street: 2734 Bronco Dr.
City: Duluth
State: GA

Zip

30096-

Cell

(678) 349-4212

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

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: J. Manzo