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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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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 Fret In ps ia How long will the child remain dependent? Signature of Petitioner NOTE. State aid is for temporary relief only and must be stopped by the Board of Supervisors and the Board of Control when the necessity ceases under which the application is allowed. STATE OF CALIFORNIA County of te solemnly swear or affirm, 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. Petitioner. Subscribed and sworn to before me this day of i BEBE Clerk. Deputy Clerk. Three (3) references: NAME ADDRESS SUTOUITAMOD pry suvyqdig L.LV.LS § poMmoy[v [VIO vd ‘suvyqdig jo p1ooay ut ‘stostAladng jo pivog Aq Pap 1 jo Ayunoy SIOSIQAIINGE JO QAvogE jo uoneorddy INAYOATTVO AO v qyjuour sad -