Enter a name, company, place or keywords to search across this item. Then click "Search" (or hit Enter).
Collection: Original Records > Grass Valley Orphan Asylum
Record of Orphans Half-orphans and Abandoned Children (1900-1914 & 1929) (243 pages)
Go to the Archive Home
Go to Thumbnail View of this Item
Go to Single Page View of this Item
Download the Page Image
Copy the Page Text to the Clipboard
Don't highlight the search terms on the Image
Show the Page Image
Show the Image Page Text
Reset View and Center Image
Zoom Out
Zoom In
Rotate Left
Rotate Right
Toggle Full Page View
Flip Image Horizontally
More Information About this Image
Get a Citation for Page or Image - Copy to the Clipboard
Go to the Previous Page (or Left Arrow key)
Go to the Next Page (or Right Arrow key)
Page: of 243
. : sos iy Pe Saas S,; _, yy whom? LTE.
Has aid been given heretofore? If so, by a TUL AL AMM. NK MAM ke C4 = ALOT by
4 ; ’ : i SF Ay aaage ild at present time? . 18. Who has charge and control of said child........at present time? WAY i PE ot Mena = 6 Zz
: : E : ere). dependent LALEAL : é 19. State fully reasons why child/c2at-.444~<.dependent . OY CLM Cty Z, blr a ig 4
) C a J \ Lf yf Me
t/ LY, nate a
i Jf y. 4
: : : : in dependent? ...40A-4A# PLBECCE Cee
20. How long will the child. remain dependent?
oy & f
g gk ie Fr : t.LbL Be mG POP EM kes, 2 nen
Signature of Applicant L : ZAFE LE KA ABA AO s
if
Z
rcts should sign sf eee ‘ se ag gic eathices de eee i Note 1. Only parent, guardian or officer knowing the facts should sign this afplication. iin the supporf6f child if possible, living parent, especially the father, 1s expecte 3 y Note 2. Parent, estate, guardian, 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. /
FICATE OF APPLICANT
CERTIFICATE OF APPLICANT
/ Ln) c y TV MAA certify that I have made the answers
l, ZL ATOG AA (Onn fo “ é certify that I have made the answers th: that after making said answers, the said questions and
written after the qyéstions above set forth; that after making said answers, the said questions and d the same: that said answers are true and correct to the best
answers were reado me and then I signed the same; that said answers are true and correct to the best
of my knowledge, information and belief.
Ye he Y Jay of..4 so ee
1 . .
fp J 247
” Subscribed to this.< ORAL rey of.. ALAA? WL
‘
Applicant.
Applicant.
ee
>
x as ASR e \ &
a 3 ae ‘ . % \ oN : =
cS he eae . s :
: CS . Z ’ o o = ae =o X ( NaS . Z S oy > a= \ 3 =. = = 2s . bh b ta NereSe \. na : = _ 5 i}
b 3 “ ‘ = oe = aes KI ae . a fe: = . = .
o = : \ \ © A'S 2 YX B ° Ls} 8 pe ae ANSE 3 St YS Su © . =
° oS a ~\ hea 3 @ S Baga. oe
cI ; erties,
a NN st S eS eae = i . I eS Me ye B yy
y oe
~re Mm B 2 sv . ‘ s 8 . A ~ F 3 2 ae = Z Pes ° a) Pt . en \ n ? Fr B . Ny q . oll fe
N . Ny ( . . ee