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No. 7158787 Name CHANG, Sing Hai residing at 449 Calla Ave., Palm City, Calif. Date of birth 11/6/39 Date of order of admission 11/20/53 Date certificate issued November 24, 1953 by the Superior Court at San Diego, California Petition No. 18129 Alien Registration No. 8247702 sing hai (Complete and true Change signature of holder)