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Name: Ane van der Moolen
Date and place of birth: 6 December 1900, Terschelling
Original address: Moleneind 116, Drachten
Religion: Nederlands Hervormd
Occupation/profession: Stuurman GV, Kon. Ned. Stoomb. Mij, Suriname kade, A'dam
Identity card: geen
Ground for hiding out: arbeidsinzet (A.I.)
District of the LO: Drachten
Other remarks Bijzondere opmerkingen: O.T. Smilde is met potlood toegevoegd op de kaart.