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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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Page: of 243
Has aid been given heretofore? If so, by whom?
Who has
State fully ons why child
y the father, is expected by
CERTIFICATE OF APPLICANT
n after the questions ve set forth; that after maki said answers, i 1
wers were read to me and then I signed the s:
ny knowledge, information and belief.
Subsc¢ ee : day of.
Date
Location @
Reeorded this
Full
Admitted
Application of
for admission of
Name of Institution
ins, page
Orphan's Ad
Secretary.
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