Pancho - ROD-SAN-72

Code: ROD-SAN-72
Mercy ID: V-02741-01
Encounter Date: 03/27/2008
Last: Rodriguez
First: Sandra
DOB: 02/23/1972
County: Gwinnett
Street: 3250 Sweetwater Road
City: Lawrenceville
State: GA

Zip

30044-

Cell

(770) 925-9424

Family Status

Single parent w/children

COB

El Salvador

Gender

Female

Housing

Single Family

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: J. Perez
Data Entry: J. Manzo