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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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Fug, Terang ey * a + 4374.20 bias *Tl astray Pi + you "Tags cmasen BPR 0 O'9 NOt Wingo. POW. NVAga “3 -y ABTA v1 4 +p ATIONAY 1 wie Place and date of deatm When and where were parents mafried? Where is marriage certificate recorded? me to California? Mother? cam Year father 10. Which parent is living? 1. Residence of parent 5a Relation of applicant to child 13. Full address of guardian esparént? oO the child inmate of an institution? 12. 14. 15. Name and address of institution? 16, What amount will be given for aid of child Note 1. This application may be used for more than ONE child of one fami Note 2, This application must be recorded in ‘Record of Orphans" and fori This application cannot remain in effect for more than one fiscal . Note 3. of each pear for the ensuing fiscal pear. 9 f one family What amount will be given for aid of child than ONE « 1 for more hild of ‘Record of ( This application may be us upplication must be recorded in Note Note Form No. 5 “APPL JA ae MISSION TO. 1. ramento, California. Application for Admission to for the admission t« ation hereof the follo Applic and in support Place and Date of Birth child Name of child Abandoned , Half Orphan Sephan any estate, or are they or either of them heir to any estate? If so, deStatus of ch Has parent or child neluding insurance, if any. scribe said estate, its location and value the child Nativity H Father’s name Placé and date of death 6. Mother’s name Place and da When and where were parents married %. Where is marriage certificate recorded é [o County Habits of sobriety? Occupation? al 9. Date fath t is living? Which pare Residence of parent.< Relation of applicant to child Full address of guardian or parent?! 13 14 the child inmate of an institution? Lg 10 .fpet year. By whom?...2. 15. Name and address of institution? an ONE r children of different families ; forwarded at on retary of Board of Control, Sacramento, California. ord of Orp' an What amount will be given for aid of child uild of one family, but not f ans"” > Se A. Carlisle & Co., S. F Form No, 5—APPLIC a RAR Whaat om Bae: ca 27.. per yer. By whom?... but not for children of diffe rent famili and forwarded at once to Secretary of Board of Cont A. Carlisle & Co., ? $.d.cu.aléper year. By whom’.. This application may be used for more than ONE child of one family, but not for children of different families. : y This application must be recorded in ‘*Record of Orphans” and forwarded at once to Secretary of Board of Control, Sacramento, California.