Pancho - ALV-YUR-83

Code: ALV-YUR-83
Mercy ID: V-03452-01
Encounter Date: 10/29/2010
Last: Alvarado
First: Yuridia
DOB: 11/07/1983
County: Fulton
Street: 125 Northwood Dr.
City: Roswell
State: GA

Zip

30342-

Cell

(678) 891-9573

Family Status

Single parent w/children

COB

Mexico

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: G. Landeros
Data Entry: J. Manzo