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Collection: Original Records > Grass Valley Orphan Asylum

Record of Orphans Half-orphans and Abandoned Children (1900-1914 & 1929) (243 pages)

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Application for Admission Ane) Orphan Asylum Name in full of child or children. Vb Place and date of birth. ; at Pnar.20 2 OP Father’s and mother’s name. Se es ne 12. LIZ oe Ss Addl, ee Bos geen Where is parents’ marriage certificate recorded? (PlLacearthe.. When did parents come to California? Where does living parent reside? x tive town, street and 7 If father is living give occupation. a3 Where and when did father die? i Where and when did mother die? fo learns... Parthd, 24th. /P-09. Is there any estate or life insurance? What amount will be given for aid to child’s support? Give full address of guardian or parent# y MO.t20'ef ie Se ge) SOS VE Ue State fully reasons why child is dependent All the above is absolutely true, to my best knowledge and belief. Sign. NW ee (6) G4 Ab, 1. Only the guardian, officer or parent knowing the facts should sign this applicatfon 2. Parent, estate, guardian, relatives, should aid in the support of child if possible; living parent, especially the father, is expected by the State to pay for maintenance of child. State Board of Examiners, Form No. 346—APPLICATION FOR ADMISSION TO ORPHAN ASYLUM. A. Caruiste & Co., S. F’