Pancho - SAU-MAR-83

Code: SAU-MAR-83
Mercy ID: V-03016-01
Encounter Date: 02/27/2009
Last: Saucedo
First: Maria ecliseria
DOB: 09/20/1983
County: Gwinnett
Street: 1184 Singlenton Valley Cr.
City: Norcross
State: GA

Zip

30093-

Home

(770) 931-0843

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

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: 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