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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 Vy /, Laat athtiZ, Orphan Asylum Y Situated in... ~27-F#. Date of Application, Name in full of child or children. << Place and date of birth. . / Father’s and mothgr’s name. 4 y) jj f 2 L eee th. LATHAM. Where is parents’ marriagé certificate, recorded? When did parents come £0 California? 4 Where does living parent reside? (Give town, street and number.) Fy If father is living give occupation. Where and when did father die? fut tad’, Where and when did mother die? Is there any estate or life ‘avin det AEE. Bee What amount will be given for aid to child’s support? Give full address of guardian or parent. a y fp YA State fully reasons why child is dependent Abo eee A to. All the above is absolutely true, to my best knowledge and belief. Only the guardian, officer or parent knowing the facts should sign this application ’ 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.