Pancho - CAS-ERI-89

Code: CAS-ERI-89
Mercy ID: V-02878-01
Encounter Date: 08/22/2008
Last: Casas
First: Erica
DOB: 07/08/1989
County: Hall
Street: 2739 Buena Vista
City: Gainsville
State: GA

Zip

30504-

Cell

(770) 895-8193

Family Status

Single adult

COB

Mexico

Gender

Female

Housing

Doubling Up

Education Level

some high 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: YES
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