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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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Zz been given heretofore? If so, by whom? z s charge and control of said child at present time? lly reasons why child dependent 1g will the child remain dependent ? Signature of Applicant.. AZ-7C0 4240-0 arent. guardian or officer knowing the facts‘Should sign this application , est guardian, relatives, should aid in the support of child if possible, living parent, especially the father, is expected by ance of child. CERTIFICATE OF APPLICANT sr eee ocala ee rake te certify that I have made the answers the questions above set forth; that after making said answers, the said questions and read to me and then I signed the same; that said answers are true and correct to the best ‘:dge, information and belief. d to this.. ce 4 Applicant, HH poy upy uoTyNyySUy Jo suv, [NI Jo UOTSSTUIpPB IOJ WY Huniptig ‘UAHLO. W UO AAHLVA 10 AdAIT NO AONVANSNT