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Name: Ella Pauline Polak
Date and place of birth: 28 April 1904, Groningen
Partner: Johan Cohen
Original address: Keizerstraat 5, Deventer
Religion: Joods/Israëlitisch
Hiding address: 45, Gaast
District of the LO: Sneek
Brought to reception address by: Ds. H.J. Hoek, Gaast, Dominee
Brought to hiding address by: Ds. H.J. Hoek, Gaast, Dominee
Other remarks Bijzonderheden: Naar Deventer vertrokken