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

Spouse Information

Last
Bun
First
Jenniffer
DOB
10/14/1972
Address
N/A
Telephone
N/A
COB
EEUU
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
YES
DFCS Mandated
No
DFACS County
Alcohol & Drug
No
# of DUIs
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
No
Consentimiento De Participar
No

Petitioner

TPO
No
Stay Away Condition
No
Mutual
No

Defendant

TPO
No
Stay Away Condition
No
Mutual
No

Driver
No
Driver License Date
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Fabricio A. Bun 04/25/2000 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
R. Miranda
Data Entry
K. Aleman
Referred By
Gwinnett County