Pancho - BUN-HUG-79

Code: BUN-HUG-79
Mercy ID: V-01655-02
Encounter Date: 08/10/2004
Last: Bun
First: Hugo adrian
DOB: 04/22/1979
County: Gwinnett
Street: 1714 Summer Ridge Lane
City: Lawrenceville
State: GA

Zip

30044-

Home

(678) 851-0402

Family Status

Single parent w/children

COB

Argentina

Gender

Male

Housing

Doubling Up

Education Level

College Degree

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: R. Miranda
Data Entry: K. Aleman