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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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AUP psyeeeeevss &§Vey AVIV VS wyvpyewys errs ww ypyuuew and Abandoned Children by // yj Sf) In the matter of the application of Brak? GZELY, : OD, Mhaanege. for aid in the support of ___ 27 child by the County of Number) To the Honorable, the Board of Supervisors: — I hereby petition your Honorable Board for aid in the support of child , and in a (Number support thereof submit the following statement:— Name__of child (Family Name) (Given Name) Place and Date of Birth. Years . Months aE Status of child ats Orphan + Walf-Orphan Abandoned 3. Has parent or child any estate, or are they or either of them heir to any estate?” If so, describe said estate, its location and value, including insurance, if any. Hi the child ever been legally adopted? If so, by whom? 4727 Father’s name Nativity Place and date of death Mother’s name Nativity Place and date of death When and where were parents mafried? Where is marriage certificate recorded? Year father came to California? I ? fe Sather Which parent is living? Habits of sobriety Residence of parent Occupation? Relat*<a of applicant to child Full address of guardian espatént? the child inmate of an institution? Name and address of institution? _ 16, What amount will be given for aid of child $ per year. By whom? Note 1. This application may be used for more than ONE child of one family, but not for children of different families. Note 2. This application must be recorded in “Record of Orphans”’ and forwarded at once to Secretary of Board of Control, Sacramento, California. Note 3. This application cannot remain in effect for more than one fiscal pear. If ald is to continue, new applications must be made out in June of each pear for the ensuing fiscal pear. tinct cane 44 Raeek . What amount will be given for aid of child ? “2..per gerr. By whom? but not for children of different familie " Vann t for Secretary of Board of Control, Sacramento, California, This application may be used for m h 9 This abd Record of Orphans” and forwarded at or This application must be recorded in * ii A. Carlisle & Co., 8. I 5—APPLICATION FOR ADMISSION TO INSTITUTION. lit What amount will be given for aid of childAté~..? $.d.cu.2aper year. By whom? Note 1. This application may be used for more than ONE child of one f , but not for children of different families. , Note 2. This application must be recorded in ‘‘Record of Orphans” and forwa s 1 of Control, Sacramento, California. ADMISSION TO. NSTIVUTI