Pancho - SIL-ROS-53

Code: SIL-ROS-53
Mercy ID: V-02648-01
Encounter Date: 10/24/2007
Last: Silva
First: Rosa
DOB: 10/02/1953
County: Gwinnett
Street: 1071 Luel Creek Rd # E6
City: Buford
State: GA

Zip

30518-

Cell

(678) 765-2816

Family Status

Single adult

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: 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: Volunteer