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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 LE Jialles , Orphan Asylum Situated in Sie IN La Ly Date of Application, Pet. Peer oe 19s Place and date of birth. ae ve 27 Aft, of), / oo he Father’s and mother’s name. Name in full of child or children. When did parents come to California? vale Ze: 6. here ee resfde? (Give town, stfeet and number.) 4 If father is living give occupation. 7. Where and when did father die? 8. Where and when did mother die? Ce Fe Ulla, #, / POE, 9. Js there any estate or life insurance? 10. What amount will be given for aid to child’s support? #2. Sa fee 2) Vea pa Give full address of guardian or parent. see covaethder State fully reasons why child is dependent All the above is absolutely true, to my best knowledge and belief. 1. Only the guardian, officer or parent knowing the facts should sign this applic ation. fi 2. Parent, estate, guardian, relatives, should aid in the support of child if possible; living parent, especially Me 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’