Original address: Heelsumstraat 165, `s Gravenhage
Occupation/profession: schrijver 13 kl. Ins. Bel.
Status identity card: onbekend/niet vermeld
Ground for hiding out: arbeidsinzet (A.I.)
Hiding address: Lammerstraat 11, Leeuwarden
District of the LO: Leeuwarden
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