dc66e42ec4
Categories now match folder names (15 canonical values). Types normalized to 25 canonical values per VAULT_MAP.md spec. Context-aware mapping: W-2s→tax-form, lease files→lease, vet records→vet, etc.
91 lines
2.7 KiB
Markdown
91 lines
2.7 KiB
Markdown
---
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type: id
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category: id
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person: Nichol Li
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date: 2023-11-22
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source: nichol_birth_cert_2023.pdf
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---
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# Certificate of Live Birth — Nichol Li
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**State of California, County of Los Angeles, Department of Public Health**
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**State File Number:** 1202319076052
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## Child Information
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| Field | Value |
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|-------|-------|
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| 1A. Name of Child - First | NICHOL |
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| 1B. Middle | — |
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| 1C. Last | LI |
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| 2. Sex | MALE |
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| 3A. This Birth: Single, Twin, etc. | SINGLE |
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| 3B. If Multiple, This Child 1st, 2nd, etc. | — |
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| 4A. Date of Birth - MM/DD/CCY | 11/22/2023 |
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| 4B. Hour - 24 Hour Clock Time | 2345 |
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## Place of Birth
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| Field | Value |
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|-------|-------|
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| 5A. Place of Birth - Name of Hospital or Facility | USC ARCADIA HOSPITAL |
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| 5B. Street Address - Street and Number, or Location | 300 W. HUNTINGTON DR |
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| 5C. City | ARCADIA |
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| 5D. County | LOS ANGELES |
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## Parent 1 (Father)
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| Field | Value |
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|-------|-------|
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| 6A. Name of Parent - First | CHENG |
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| 6B. Middle | — |
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| 6C. Last - Birth Name | LI |
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| 7. Birthplace - State/Country | CHINA |
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| 8. Date of Birth | 06/16/1987 |
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| Relationship to Child | FATHER |
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## Parent 2 (Mother)
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| Field | Value |
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|-------|-------|
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| 9A. Name of Parent - First | XIANG |
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| 9B. Middle | — |
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| 9C. Last - Birth Name | ZHANG |
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| 10. Birthplace - State/Country | CHINA |
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| 11. Date of Birth | 03/16/1990 |
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| Relationship to Child | MOTHER |
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## Informant and Birth Certification
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| Field | Value |
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|-------|-------|
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| 12A. Parent or Other Informant - Signature | CHENG LI |
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| 12B. Relationship to Child | FATHER |
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| 12C. Date Signed | 11/23/2023 |
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| — | XIANG ZHANG |
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| Relationship | MOTHER |
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| Date Signed | 11/23/2023 |
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| 13A. Attendant/Certifier - Signature and Degree or Title | BESSIE NHAN, BIRTH. REG. |
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| 13B. Number | A64425 |
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| 13C. Date Signed | 11/24/2023 |
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| 13D. Typed Name, Title and Mailing Address of Attendant | CINDY HUANG CHOU, MD, 207 S SANTA ANITA ST STE 335, SAN GABRIEL, CA 91776 |
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| 14. Typed Name and Title of Certifier if Other Than Attendant | BESSIE NHAN, BIRTH. REG. |
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| 16. Local Registrar - Signature | MUNTU DAVIS MD |
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| 17. Date Accepted for Registration | 11/27/2023 |
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## Certification
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**CERTIFIED COPY OF VITAL RECORD** — State of California, County of Los Angeles
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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.
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- Health Officer and Registrar: VG, MD
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- Date Issued: NOV 27, 2023
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- Barcode: *004097660*
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Seal of the County of Los Angeles and State of California present.
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"This copy not valid unless prepared on engraved border displaying seal and signature of Registrar."
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"ANY ALTERATION OR ERASURE VOIDS THIS CERTIFICATE"
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