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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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Page: of 243

Application for Admission
NS)
Orphan Asylum
Situated in
Date of Application,
Name in full of child or children.
4
3.
Where is parents’ marriage certificate recorded ?
Z
Ant g
When did parents come to California ?
ALL yok fark &
Where does living parent reside? (Give town, street and number.)
If father is living give occupation.
fp £ 2
AANA f/f kA
Where and when did father die ?
8. Where and when did mother die ?
9. Is there any estate or life insurance ?
10. What amount will be given for aid to child’s support ?
Give full address of guardian or parent.
All the above is absolutely true, to my best knowledge and belief.
Sign...
fficer or parent knowing the facts should sign_this application.
guardian, relatives, should aid in the support of child if possible; living parent, especially the father, is expected by the State
f child.
State Board of Examiners, Form No. 346—APPLICATION FOR ADMISSION TO ORPHAN ASYLUM. A. Caruiste & Co., 8. F