Page:California Digital Library (IA surnamesofchines00jone).pdf/26

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Certificate
of
Spelling of Chinese Name.

Full Name in Chinese
……
Surname in Chinese
……
Given Name in Chinese
……
Spelling according to the Sz Yip dialect
……
Spelling according to the Saam Yup dialect
……
Various spellings likely to have been used for this name in Chinese certificates or other records
……
……
……
……
……
……
……

I do hereby certify that the above is a full and correct spelling of the Chinese name …… and that I have personally verified the same.

……
……
For The Chinese Name Spelling Company.

San Francisco, …… 190

No. ……