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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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Application for Admission TO att! U ahs Ley Orphan Asylum Situated in ZF ZtZet s athts Date of Application, ik ‘ Name in full of child or children. Ela Angela nes ted 2° Josephine Anlomn a, Cam Dts Rarthrliney i ay Uw vio v SP : A. Place and date of birth. Parnn 8 4 Crnnas ae aprt (S5 (Vo 2 / aa 2, “ PSO Gs Xe a) , Sy @ IJos sees ale (Fo J. Calf, dug & 1909 Father’s and mother’s name. Framcesca Cou Where is parents’ marriage certificate recorded? Now Castle . (Fr Nerv 140.7 When did parents come to California? Where does living parent reside? (Give town, street and number.) Reddeng Car If father is living give occupation. Whats and when cia fete tee ales, fol Nov . 140A Where and when did mother die? Is there any estate or life insurance? no 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 Mother. Canuefene ee Oe x ( and Care hey age as ee All the above is absolutely true, to my best knowledge and belief. Sign Ney, 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. CARLISLE & Co., S. F.