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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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Kind: Carlisie & Co. 37584 NAME. BEGORD OF “ORPHANS? Age When Admitted. YEARS. Mos. Boarp or Contron Form & Institution Application for Admission to (Pull Name of Institution) ya Located at UC Zz-1-7tee ce ttf, In the matter of the application of 3 thasZtf Z > for the admission ees of SAUL child ALL to thisinStitution. (Number) Application is hereby made for the admission to LS Full Name of Ifstitution) EL -child/té#.., and in support thereof the following statements are submitted: (Number) AGE 1. Name.of child ; Sex. Place and Date of Birth (Family Name (Given Name) ¥eara . Monthe (a) Foraman, Uithcaan VA 14\ nate Changs Bet. Plasary 20149 0S (b) Ue ace Ctrpails 2 Mate EMIT Mhsuary v6 Lea 0 Arman, pegpet— nome trowAl Gal Heheuary th 19 09, (d) (e) 2. Status of child Asda.. -Onphen—. .-., Half Orphan j42 Abandoned. 3. Has parent or childAz+...any estate, or are they or either of them heir to any estate? If so, describe said estate, its location and value, including insurance, : any. tpt haces lor ipo fe Haee—the childAcm..ever been le sgally adopted? If so, by whom? Father’s name ee MNAman_ E Nativity Hating. Place and date of death , dee ke Mother’s name Kadthanand. Arman Nativity . Curtin. Place and date of death Gurthen. Califarmen. Vrrchv LED. pie When and where were parents married? pores ate. oe 10 USD a Where is marriage certificate recorded? ate father came to California? 1906. bes). Mother? (GO. 6 ee To County? are 6 Which parent is living? Abhi. ..-Habits of sobriety? Sete. Residence of parent // 3 Waa Lah. C, Occupation? jedi. Relation of applicant to childAtur...? A then Full address of guardian—er parent? rv My: eZ Merete child. A*4v...inmate of an institution? Name and address of institution? She What amount will be given for aid of child per year. Ot Untrtute wha te Can bur har psy Ne 1. This application may be used for more than ONE child of one family, but not for children of differ families. Note 2. This application must be recorded in “Recor 1 of Orphans” and forwarded at once to Secrets ary of Bo: f Control, Sacramento, California, Form No. 5—-APPLICATION FOR ADMISSION TO INSTITUTION. A. Carlisle & Co., 8. F.