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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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7. Has aid been given heretofore? If so, by whom? he dthch LAMM Who has charge and-control of said child at présent time? HHEAL LE exept aL 7 ~ P + 17} f Y i {/ rs! Aa aL 19. State fully reasons why child : dependent 24th 4..42..ht-t-h + of Lee Po AhAALS & hh 8 I [Oe De tO ee wer ne oo ee ao a ae ee ae ae a Ne AR ao C34 d ¢ +z) Qe 4 2. as PATRON £ As 5. ay ae ae 20. “How long will the child remain “dependent? 4é2et4¢4. abt’ Ma VE Finn Labatt ©; : Ne oo Signature of Applicant K Ht. Ak. Mallat. Note 1. Only parent. gu or officer knowing the facts should sign this application ‘ Note 2. Parent, estate, ¢ ian, 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 nN 18 ae a i ice Zz (A AL Lhe Coe : 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. Subseribed to Ee VS eopsr oe of. Yoke eal /. oa Applicant. poepsoov0y ad LSoK styy _ ° ~ na rs O« WY x uniptig “NOLLOLIGSNI AG LAO dale *£IBJOVIDVG