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No. 7158790 Name CHANG, Sing San residing 449 Calla Ave., Palm City, Calif. at Date of birth 11/14/41 Date of order of admission 11/20/53 Date certificate issued Nove mb er 24, 1953 by the Superior Court at San Diego, California Petition No. 18130 Alien Registration No. 8247703 sing (Complete San and true signature Change of holder)