Pancho - ZAF-SAR-62

Code: ZAF-SAR-62
Mercy ID: V-03154-01
Encounter Date: 08/24/2001
Last: Zafra
First: Sara
DOB: 08/05/1962
County: Gwinnett
Street: 1221 Timbercrest Dr.
City: Lawrenceville
State: GA

Zip

30045-

Cell

(678) 497-6001

Family Status

Single adult

COB

Mexico

Gender

Female

Housing

Single Family

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