Enter a name, company, place or keywords to search across this item. Then click "Search" (or hit Enter).
Collection: Original Records > Grass Valley Orphan Asylum
Record of Orphans Half-orphans and Abandoned Children (1900-1914 & 1929) (243 pages)
Go to the Archive Home
Go to Thumbnail View of this Item
Go to Single Page View of this Item
Download the Page Image
Copy the Page Text to the Clipboard
Don't highlight the search terms on the Image
Show the Page Image
Show the Image Page Text
Reset View and Center Image
Zoom Out
Zoom In
Rotate Left
Rotate Right
Toggle Full Page View
Flip Image Horizontally
More Information About this Image
Get a Citation for Page or Image - Copy to the Clipboard
Go to the Previous Page (or Left Arrow key)
Go to the Next Page (or Right Arrow key)
Page: of 243
Has aid been given heretofore? If so, by whom?
Who has charge and control of said child at present time?
State fully reasons why child ... dependent
How long will the child remain dependent ?
Signature of Applicant.. . ha & ‘
Note 1. Only parent, guardian or officer knowing the facts should sign this application.
Note 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.
CERTIFICATE OF APPLICANT
es see meee a tele eee MMe oe as sae certify that I have made the answers
written after the questions above set forth; that after making said answers, the said questions and
answers were read to me and then I signed the same; that said answers are true and correct to the best
of my knowledge, information and belief.
Subscribed to this.
Applicant. ‘
.
.
.
“ON
jo uoryrortddy
jo UOISSI
WY wuniptig
yYOSNJ