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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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WNT att Orphan Asylum : Fs Situated in PLACE Date of Application,.. Name in full of child or children. Mbank Place and date of birth. : nanratuy >9 An, UV oO, 00, 0 : 5! Ac cons Qrh\AAw UOBe, ‘ apc Father’s and mother’s name. J x? SOAR boa ee 4 4. Where is parents’ marriage certificate recorded? : bac Eiken Dee ae, When did p par mts come to California? oe Where does living parent reside? (Give town, street and number.) ip Lime ML Ad rf “wn OL... AAG AAA ae Lath 4 BS, a olan t Laake, If father is living give occupation. _ Where and when did father die? Where and when did mother die? —— Is there any estate or life insurance? V7 A CPL What amount will be given for aid to child’s support? Give full address of guardian or parent. 12. State fully reasons why child is dependent...” BLtL MAD Leas fi ines ess a Geen ee aft o>: WZ Peon a ago eum ae ae a= P2 ore f eo bem yer ae Korg 724 L002 Fas All the above is absolutely true, to my best knowledge and belief. Sign. 1. Only the guardian, officer or parent knowing the facts should sign this application. 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. State Board of Examiners, Form No. 346—APPLICATION FOR ADMISSION TO ORPHAN ASYLUM. A, Carutste & Co., 8. F.