Pancho - ARR-ELS-78

Code: ARR-ELS-78
Mercy ID: V-02739-01
Encounter Date: 03/20/2008
Last: Arrellano
First: Elsa
DOB: 04/21/1978
County: Clayton
Street: 1 Bess Lane
City: Stockbridge
State: GA

Zip

30281-

Cell

(678) 764-7339

Family Status

Adult couple-no children

COB

Mexico

Gender

Female

Housing

Single Family

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