Pancho - VEG-REI-81

Code: VEG-REI-81
Mercy ID: V-02862-01
Encounter Date: 08/05/2008
Last: Garcia
First: Reynalda
DOB: 02/16/1981
County: Gwinnett
Street: 6148 Susan Lane
City: Doraville
State: GA

Zip

30340-

Cell

(678) 668-0211

Family Status

Two parent family w/children

COB

USA

Gender

Female

Housing

Single Family

Education Level

Grade school

Home Owner

YES

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: YES
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: G. Landeros
Data Entry: J. Manzo