Pancho - FLO-BEA-63

Code: FLO-BEA-63
Mercy ID: V-03028-01
Encounter Date: 03/18/2009
Last: Flores
First: Beatriz
DOB: 07/29/1963
County: Gwinnett
Street: 3400 Sweetwater Road # 1109
City: Lawrenceville
State: GA

Zip

30044-

Cell

(678) 334-0292

Family Status

Two parent family w/children

COB

Mexico

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: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: G. Landeros
Data Entry: J. Manzo