Extracted text

OCR Page 1 of 2
No. 7029491 Name CHAVEZ, Edward residing at 1315 Coolidge St., National City,Cal. Date of birth 1/8/03 Date of order of admission 7/18/52 Date certificate issued July 21, 1952 by the Superior Court at San Diego, California Petition No. 16649 Alien Registration No. 1047676-5? Editional change (Complete and true signature of holder)