Collection: Original Records > Grass Valley Orphan Asylum

About This Item:

Title: Record of Orphans Half-orphans and Abandoned Children (1900-1914 & 1929) Collection Type: Original Records Collection Name: Grass Valley Orphan Asylum # of Pages: 243 Download PDF: User Login Required Download OCR Text: User Login Required

Date Scanned: 2024-07-22 23:21:47 Item Sourced From: JPGs First Created: 2025-03-17 03:18:00 Last Updated: 2025-03-17 03:18:00

Original Held At: Searls Historical Library Location: 161 Nevada City Hwy, Nevada City, CA 95959

Page: of 243  

Deano sx Cieeeh Bocas Board of Control Form 1 Institution County Application for Aid of Orphans, Balf Orphans and Qbandoned Children Application for 2 Pe Full Name of IpStitu 4 Located at FLO E In the matter of the application » F , for aid in the In the matter of the application of eee Rares child by the County of : yas sgn lo the Honorable, the Board of Supervisors:— I hereby petition your Honorable Board for aid in the support of ild , and in aon ‘e (Number) Application is hereby made for the admission to L4 support thereof submit the following statement :— child , and in support thereof the folloy Name__of child AGI (Family Name) Given Name) 2 <a jam (Given Name Years . Months Name _ of child / Years . Months Place and Date of Birth. Family Name Given Name Status of child Orphan , Half Orphan X Abandoned Status of child 2: s Rae i i 3. Has parent or child any estate, or are they or either of them heir to any estate? If so, describe Has parent or child any estate, or are they or ¢ said estate, its location and value, including insurance, if any. scribe said estate, its location and value, including insurance a EL the child ___, ever been legally adopted? If so, by whom? H the child ever been legally adopted? If 4 ? 5 Father’s name _ > ¢ Nativity Father’s name ‘ sa y . / : Place and date of death Place and date of fe 7 Mother’s name? 7 et Nativity! Mother’s name Place and date of de Place and date of death When and where were parents married? When and where were parents married ? "here is marriage certificate recorded? Where is marriage certificate recorded? 7 : : / . j ar father came to California? Mother? ‘To County, Father Mother 9. Date father came to California? : Thich parent is living? Wy Habits of sobriety? 10. Which parent is living? Residence of parent i Occupation? Residence of parent elation of applicant to child Relation of applicant to child.. 1 address of guardian or parent? Full address of guardian or parent? the child inmate of an institution? the child inmate of an institution? Name and address of institution? 15. Name and address of institution? What amount will be given for aid of child am.) per year. By whom? 16. What amount will be given for aid of child Note 1. This application may be used for more than ONE child of one family, but not for children of different families. iii applica HbAimiae He andl thi vios shasiG anil chal aie cua haat Note 2. This application must be recorded in “Record of Orphans’’ and forwarded at once to Secretary of Board of Control, Sacramento, California. This application must be recorded in ‘Record of O: phans”’ and forwarded Note 3. This application cannot remain in effect for more than one fiscal pear. If aid is to continue, new applications must be made out in June of each pear for the ensuing fiscal pear. 5—APPLICATION FOR ADMISSION TO INSTITUTION Rares 5 Whaat came as 7s, 4 What amount will be given for aid of child.......2 $.. =...per gear. By whom? may be used for more than ONE child of one family, but not for children of different families. ation must be recorded in “Record of Orphans” and forwarded at once to Si tary of Board of Control, Sacramento, California. 5—APPLICATION FOR ADMISSION TO INSTITUTION A. Carlisle & Co., 8. F. ie f sting 16. ? $.¢ £éléper year. By whom?.. This application may be used for more than ONE child of one family, but not for children of different families. This application must be recorded in “Record of Orphans" and forwarded at once to Secretary of Board of Control, Sacramento,