Pancho - CRU-SIL-76

Code: CRU-SIL-76
Mercy ID: V-03022-01
Encounter Date: 03/05/2009
Last: Cruz
First: Silvia
DOB: 12/03/1976
County: Gwinnett
Street: 2356 Shiloh Hill Ct.
City: Snellville
State: GA

Zip

30039-

Cell

(770) 885-2555

Family Status

Two parent family w/children

COB

Mexico

Gender

Female

Housing

Doubling Up

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: 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