Pancho - ALE-GUA-85

Code: ALE-GUA-85
Mercy ID: V-03369-01
Encounter Date: 07/26/2010
Last: Aleman
First: Guadalupe
DOB: 05/31/1985
County: Dekalb
Street: 4639 Peac Place Parkway Apt. E
City: Atlanta
State: GA

Zip

30360-

Cell

(678) 438-3229

Family Status

Single adult

COB

El Salvador

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: J. Perez
Data Entry: J. Manzo