Pancho - WAT-MER-76

Code: WAT-MER-76
Mercy ID: V-03063-01
Encounter Date: 05/08/2009
Last: Watson
First: Mercy
DOB: 09/28/1976
County: Other
Street: 3221 Hearthstone Landing Dr.
City: Canton
State: GA

Zip

30114-

Cell

(770) 873-7070

Family Status

Single parent w/children

COB

USA

Gender

Female

Housing

Shelter

Education Level

Some College

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