Pancho - ALO-CLA-65

Code: ALO-CLA-65
Mercy ID: V-02557-01
Encounter Date: 08/01/2007
Last: Alonzo
First: Claudia
DOB: 11/04/1965
County: Gwinnett
Street: 3334 Highpointe Road
City: Snellville
State: GA

Zip

30078-

Cell

(404) 447-4242

Family Status

Single parent w/children

COB

Uruguay

Gender

Female

Housing

Doubling Up

Education Level

High school graduate

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