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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
AHLOW YO WAIHLVY
aaI'J NO AONVUNSNT
d been given heretofore? If so, by whom?
as charge and control of said child at present time?
ully reasons why child dependent ong will the child remain dependent?
Signature of Petitioner
‘ate aid is for temporary relief only and must be stopped by the Board of Supervisors and the Board of Control when the necessity
ich the application is allowed.
ATE OF CALIFORNIA
solemnly swear or affirm, that I have made
written after the questions above set forth; that after making said answers, the said questions
} were read to me and then I signed the same; that said answers are true and correct to the best
ledge, information and belief.
Petitioner.
tribed and sworn to before me this
19
Clerk.
Deputy Clerk.
‘ferences:
NAME
Tot
by Board of
commencin =
ul allowed $
w
°
Q
°
Bs
Supervisors.
Application of
ins, page
OF CALIFORNIA
Amount
per Child
Board of Supervisors
County of
Allowed
per month