Pancho - BUN-FAB-00

Code: BUN-FAB-00
Mercy ID: V-01655-21
Encounter Date: 08/11/2004
Last: Bun
First: Fabritzzio
DOB: 04/25/2000
County: Gwinnett
Street: 2608 Wesley Plantantion Dr.
City: Duluth
State: GA

Zip

30096-

Home

(678) 698-9607

Family Status

Attached youth

COB

USA

Gender

Male Child

Housing

Transitional

Education Level

Child, not in school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Jennifer Bun	10/14/1972	USA
Father	Hugo A. Bun	04/22/1979	Argentina
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
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: Y. Garcia
Data Entry: K. Aleman