Thomasville Baptist Orphanage Application for Havanna & Brack HONEYCUTT Transcribed |
1221 HONEYCUTT
APPLICATION FOR ADMISSION OF A CHILD INTO
AT THOMASVILLE, N.C. ======================================================= I. - CERTIFICATE OF RELATIVE OR FRIEND Name of child? Havanna Boy or girl? Boy Date of birth? Oct. 24. 1900 Name of child? Brack Boy or girl? Boy Date of birth? Sept. 18. 1902 Place of birth? Concord Is the child of legitimate birth? Yes Truthful? Yes Honest? Yes Addicted to any vicious habits? No How far advanced is the child in scholastic education? (Blank) Date of Parents Marriage. June 1897 Father's name? Adam HUNEYCUTT Place of birth. Stanly Co. Date of birth? 1876 Moral character? Good. Died of what disease? Tubuculosis. When? Oct. 1905 Where? Stanly Co. Mother's name? Hattie H. Maiden Name? OVERCASH Place of birth? Rowan Co. Date of birth? Oct. 1878 Moral character? Good Died of what disease? Not Dead. When. (Blank) Where? (Blank) Is the child heir to any property? Yes. If so, about what is its value? $45.00 an interest till they are of age. Name of legal guardian. If any? Lawyer PRICE, Albemarle Was the father a member of any secret order? If so, what? No. If either parent is living, but unable to support the child, state why. It it is a case of mental or physical inability send a certificate as to condition and cause by some respectable Physician. (Blank) I bear witness to the fact that the answers given above are true and accurate to the best of my knowledge and belief, and that I commit the children to the Orphanage with the promise that I will not interfere with their management in any way. I sustain to this child the relation of. Mother. (Signed) Hattie HONEYCUTT Address: Concord, N.C. Date. 8/6/1910 ============================================================= II. - CERTIFICATE OF PASTOR. ( OR OF OTHER CHURCH OFFICER IN CASE THE CHURCH HAS NO PASTOR) Was the father of above named child known to you? No. What was his relationship to the church? Member. Was the mother known to you? Yes. What was her relation to the church? Member What was is the child's church relationship? Mem. Do you believe the child to be destitute and worth of aid? Yes. Do you regard the child as reasonably bright and capable of receiving an education? Yes. ============================================================== III. - CERTIFICATE OF PHYSICIAN. Has the above named child diseased scalp? No. Scrotulous sotea? No. Sore eyes? No Any skin disease? If so, what? No. Defective hearing? No Defective vision? No Defective speech? No. Epilepsey? No Syphillis? No. Idiocy? No. Feeble mindedness? No. Weak heart? No. Kidney trouble? No. Enlargement of liver? No Tuberculosis? No Catarrh? No Has the child had measles? Yes Mumps? Yes Smallpox? No Scarlet Fever? No Whooping cough. Yes Diphtheria. No Has the child been successfully vaccinated? No Any deformity? No Evidence of evil results from any disease? No (Signed) D. ?????? CALDWELL M.D. Address: Concord, N.C. Note: To the side of this document it is written: Accepted Aug. 31.10 |
Many, many thanks goes to Phyllis Honeycutt Lalonde for sharing these with us! If you need to contact Cathy send email to [email protected] & to contact Phyllis send email to [email protected]
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