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Collection: Original Records > Grass Valley Orphan Asylum

Department of Social Welfare - Annual Reports (1928-1935) (190 pages)

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= Pathin, Taka. e ba ee Date of Birth 2 eS * 4 ee ea se Legitimate IMAGE <OneB itn «hospital ate ee ea See Town ID Sti NeGeiyedses® =u eo ec eA reat Place Received Date Placed in Receiving. Home. 80 Received from Won Ghedebyes yee cee ete Court at OHSGe Ole Ooo ty. eee 0. ose ar aa es SOT aten an Oe Ae A a ee Complexion Akh 7 EE Byes... Pxty dice See ts Hair Health _... Lara See Roane Vaccinated ......... 5 as ee ee Defects -.. 4 SEG ee a Fe ee secs ie eT aa ; Peete Birth: Marks 22 1 cay I ann ea Baptised _...... EOE EEO Sak Eee teach yA thos caleee ale ane UAT Recline cere ge oe Grade in School _... a 5 Ble se sae Re es ee ee eS Temperament Mental Condition .......... Goan crt sanflre ne sk ie oT ea Psychological Rating _...... eee ee FAMILY HISTORY FATHER MOTHER — ya NIV sa pon ee a A OO Nae Raa Tee ais Sate PREC ROU Ce ee EEN EGY 0s te) obo) lee aiemea eaten CON es Natrona thy: ese Sas LEON ko) oie aha egret uae Weer eaate Pee IpenCe:, 3500840 2 eee Ci ana Chee ot 5, hee 8 ek bem ction sso ey Li SE ee OEE? OPC Sete Hereditary Diseases ................. Time resident in Calif. .......... Last known address ................ Iikdead. vive dates. Cause and age at death ...*........ many special “talents: 62 3 PAO DAG SDE UN tects po cokes, Oifeatsh auth n (oy o eta Nabe es acme Enlistment, army, navy, etc. .. (Continued on Next Page.)