Collection: Original Records > Grass Valley Orphan Asylum

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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  

re ie 4 6 9 10 Ly 12 13. 14. 15 Ayplication for Admission to on for Admission tn / ZL Y dy y (A (Full Nan ot [Astitution) titution Jf cated at... C Vb 8 2 p “$ y In the matter of the application of 5 2 fon the aa eniOn n of for the admission ttt child to this institutior $s institutic Application is hereby made for the admiss to 7 S By Zz rthe admission t ‘a child and in support thereof the following statements are submitt« us upport thereof the following statements are submitted. Nur Serene AGE AGI : Name of child : Sex Place and Date of Birth leet nes Place and Date of Birth Le Status of child rOrphan , Half Orphar Atoumtonet Sephan , Half Orphan ~Abandoned Has parent or child any estate, or are they or either of them heir to any estate? If so, dey estate, or are they or either of them heir to any estate? If so, describe said estate, its location and value, including urance, if any. alue, including insurance, if any. j H the child »-ever been legally adopted? If so, by whom? n ully adopted? If so, by whom? 4 Father’s name Zz, is Nativity y uF < Nativity LZ Place and date of death id z y Mother’s name L Nativity 7 (ae Nativity ¢ J When and where were parents married ? # / 3 4 Where is marriage certificate recorded? 0 ee : ; 7 £ > Date father came to California? y (tz Mother? %To County 4 lo County Which parent is li ? 3 2 Pe Ml Habits of sobriety? Residence of parent y e Occupation? Lg Occupation? ... C2 =A eee Eee... : > . A P Relation of applicant to childZ& t . l Peis ac iichtie Baas agora a See eg ae Z, Full address of guardian or parent? Z parent {2.2.4 One oka nsasoehep MEG p= Aad the child inmate of an institution? tate of an institution? Name and address of institution? on? ) What amount will be given for aid of child.. $$ ...per year. By whom!?.... wr aid of child a? $0.2... feet year. By whom?....7¢ 16 Note 1. This application usi nan ONE child of one family, but not for children of different families re than ONE child of one family, but not for children of di Note 2. This application recorded in ‘‘Record of Orphans” and forwarded at once to Secretary of Board of Control, Sacramento, California. Record of Orphans” and forwarded at once to Secretary of Board of C Form No. 5—APPLICATION FOR ADMISSION TO INSTITUTION eee TO INSTITUTION Set, RAAB 6 eT ; Lr gad Pip iesy ' 16. What amount will be given for aid of child..............? $...a2« per year. By whom?.... ste 1. This application may be used for more than ONE child of one family, but not for children of diff nt families. i ss Note 2. This Senin jon must be recorded in “Record of Orphans” and forwarded at once to Secretary of Board of Control, Sacramento, California. Form No. 5—-APPLICATION FOR ADMISSION TO ID ITUTION. A. Carlisle & Co., 8. F 16. cn. bateper year. By whom?.. What amount will be given for aid of child/#4~...2 $ This application may be used for more than ONE child of one family, but not for children of diff ili This af i more than ONE child of one family, lor children of different families. This application must be recorded in "Record of Orphans” and forwarded at once to Secretary of Board of Control, Sacramento, California. 4 mee MISSION TO. ferent familie: trol, Sacramento, California.