vault backup: 2026-04-05 17:16:38

documents/id/nichol/nichol_birth_cert_2023.md

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+---
+type: identity-document
+category: birth-certificate
+person: Nichol Li
+date: 2023-11-22
+source: nichol_birth_cert_2023.pdf
+---
+
+# Certificate of Live Birth — Nichol Li
+
+**State of California, County of Los Angeles, Department of Public Health**
+
+**State File Number:** 1202319076052
+
+## Child Information
+
+| Field | Value |
+|-------|-------|
+| 1A. Name of Child - First | NICHOL |
+| 1B. Middle | — |
+| 1C. Last | LI |
+| 2. Sex | MALE |
+| 3A. This Birth: Single, Twin, etc. | SINGLE |
+| 3B. If Multiple, This Child 1st, 2nd, etc. | — |
+| 4A. Date of Birth - MM/DD/CCY | 11/22/2023 |
+| 4B. Hour - 24 Hour Clock Time | 2345 |
+
+## Place of Birth
+
+| Field | Value |
+|-------|-------|
+| 5A. Place of Birth - Name of Hospital or Facility | USC ARCADIA HOSPITAL |
+| 5B. Street Address - Street and Number, or Location | 300 W. HUNTINGTON DR |
+| 5C. City | ARCADIA |
+| 5D. County | LOS ANGELES |
+
+## Parent 1 (Father)
+
+| Field | Value |
+|-------|-------|
+| 6A. Name of Parent - First | CHENG |
+| 6B. Middle | — |
+| 6C. Last - Birth Name | LI |
+| 7. Birthplace - State/Country | CHINA |
+| 8. Date of Birth | 06/16/1987 |
+| Relationship to Child | FATHER |
+
+## Parent 2 (Mother)
+
+| Field | Value |
+|-------|-------|
+| 9A. Name of Parent - First | XIANG |
+| 9B. Middle | — |
+| 9C. Last - Birth Name | ZHANG |
+| 10. Birthplace - State/Country | CHINA |
+| 11. Date of Birth | 03/16/1990 |
+| Relationship to Child | MOTHER |
+
+## Informant and Birth Certification
+
+| Field | Value |
+|-------|-------|
+| 12A. Parent or Other Informant - Signature | CHENG LI |
+| 12B. Relationship to Child | FATHER |
+| 12C. Date Signed | 11/23/2023 |
+| — | XIANG ZHANG |
+| Relationship | MOTHER |
+| Date Signed | 11/23/2023 |
+| 13A. Attendant/Certifier - Signature and Degree or Title | BESSIE NHAN, BIRTH. REG. |
+| 13B. Number | A64425 |
+| 13C. Date Signed | 11/24/2023 |
+| 13D. Typed Name, Title and Mailing Address of Attendant | CINDY HUANG CHOU, MD, 207 S SANTA ANITA ST STE 335, SAN GABRIEL, CA 91776 |
+| 14. Typed Name and Title of Certifier if Other Than Attendant | BESSIE NHAN, BIRTH. REG. |
+| 16. Local Registrar - Signature | MUNTU DAVIS MD |
+| 17. Date Accepted for Registration | 11/27/2023 |
+
+## Certification
+
+**CERTIFIED COPY OF VITAL RECORD** — State of California, County of Los Angeles
+
+This is a true certified copy of the record filed in the County of Los Angeles Department of Public Health if it bears the Registrar's signature in purple ink.
+
+- Health Officer and Registrar: VG, MD
+- Date Issued: NOV 27, 2023
+- Barcode: *004097660*
+
+Seal of the County of Los Angeles and State of California present.
+
+"This copy not valid unless prepared on engraved border displaying seal and signature of Registrar."
+"ANY ALTERATION OR ERASURE VOIDS THIS CERTIFICATE"

documents/id/nichol/nichol_passport_2023.md

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+---
+type: identity-document
+category: passport
+person: Nichol Li
+date: 2023-12-06
+source: nichol_passport_2023.pdf
+---
+
+# United States Passport — Nichol Li
+
+## Passport Data Page
+
+| Field | Value |
+|-------|-------|
+| Type/Type/Tipo | P |
+| Code/Code/Codigo | USA |
+| Passport No./No. du Passeport/No. de Pasaporte | A30777626 |
+| Surname/Nom/Apellidos | LI |
+| Given Names/Prenoms/Nombres | NICHOL |
+| Nationality/Nationalite/Nacionalidad | UNITED STATES OF AMERICA |
+| Date of Birth/Date de naissance/Fecha de nacimiento | 22 NOV 2023 |
+| Sex/Sexe/Sexo | M |
+| Place of Birth/Lieu de naissance/Lugar de nacimiento | CALIFORNIA, U.S.A. |
+| Date of Issue/Date de delivrance/Fecha de expedicion | 06 DEC 2023 |
+| Date of Expiration/Date d'expiration/Fecha de caducidad | 05 DEC 2028 |
+| Authority/Autorite/Autoridad | UNITED STATES DEPARTMENT OF STATE |
+
+## Machine Readable Zone (MRZ)
+
+```
+P<USALI<<NICHOL<<<<<<<<<<<<<<<<<<<<<<<<<<<
+A307776260USA2311229M2812058621256087<883372
+```
+
+## Endorsements Page
+
+"If your passport expires within six months of your date of departure, you may be denied entry into some countries."
+
+Signature of Bearer: (none — infant)
+
+Photo: Infant, on the left side of the data page. Small ghost photo on bottom right.

documents/id/nichol/nichol_ssn_2023.md

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+---
+type: identity-document
+category: social-security-card
+person: Nichol Li
+date: 2023-11-29
+source: nichol_ssn_2023.pdf
+---
+
+# Social Security Card — Nichol Li
+
+## Card
+
+| Field | Value |
+|-------|-------|
+| Social Security Number | 390-97-7047 |
+| Name | NICHOL LI |
+| Statement | THIS NUMBER HAS BEEN ESTABLISHED FOR |
+| Signature | (unsigned — child) |
+| Date Issued | 11/29/2023 |
+
+## Mailing Stub
+
+| Field | Value |
+|-------|-------|
+| Name | NICHOL LI |
+| Address | 12421 SANFORD ST, LOS ANGELES CA 90066-6954 |
+
+Instructions on stub: "Keep this stub with your personal records. The other side contains important information. Please note: The date we issued this card is shown below the signature line."
+
+Instructions on card: "ADULTS: Sign this card in ink immediately. CHILDREN: Do not sign until age 18 or your first job, whichever is earlier. Keep your card in a safe place to prevent loss or theft. DO NOT CARRY THIS CARD WITH YOU. Do not laminate."