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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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Board of Control Form 1 County Application for Aid of Orphans, Half Orphans and Abandoned Children In the matter of the application of for aid in the support of es ___..childA@., by the County of Sumber To the Honorable, the Board of Supervisors:— I hereby petition your Honorable Board for aid in the support of child , and in is = (Number) support thereof submit the following statement:— Name__of child : (Family Name) (Given Name) Years . Months Llu 3 GABBY ee ~/9/tLGA — Ve aaa VY! VACA irr ten AS Sex. . Place and Date of Birth. Status of child 425. Orphan. 4& ST an ot Abandoned Has parent or child Az. any estate, or are they or either of them heir to any estate? If so, describe said estate, its location and value, including insurance, if any. H the child ever been legally adopted? If so, by whom? ba Father’s name fee v4 brtwtlf, Nativity balife ee Pigaeaies dais oP anal ee Lbivier., Co, Afr$/3— yy Mother’s name Larah. Va = bolhf tok. Pliceaed Guie of adap ie Be ce ae AS yp When and where were parents married? te ’ Where is marriage certificate recorded? Lf OV. MRE CA a MMF *\ 4 Year father came to California? Mother? To County, Father J ce Mother barr Which parent is living? RAL 2» la Habits of sobriety epee or ve, ‘4 Residence of parent Dotto Wein pine Colne tc Lee Relation of applicant to child 4 y Y, Full address of guardian or parent? ee a Ps, the child fe, inmate of an institution? Name and address of institution? _ 16. What amount will be given for aid of child reg _per year. By whom? # Note I. This application may be used for more than ONE child of one family, but not for children of different families, Note 2, This application must be recorded in‘‘Record of Orphans"’ and forwarded at once to Secretary of Board of Control, Sacramento, California. Note 3. This application cannot remain in effect for more than one fiscal year. If aid is to continue, new applications must be made out in June of egch vegr for the ensuing fiscal pear. hb ma fh biz oe LDeaEd ge te LY 2 Wg Ee Se L held pon ik=