Pancho - SAY-LAU-86

Code: SAY-LAU-86
Mercy ID: V-02681-01
Encounter Date: 12/11/2007
Last: Sayago
First: Laura
DOB: 10/20/1986
County: Gwinnett
Street: 2304 Muiefield Road
City: Norcross
State: GA

Zip

30093-

Cell

(678) 914-7016

Family Status

Single parent w/children

COB

Mexico

Gender

Female

Housing

Transitional

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: 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