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Name: Hendricus M.T. Bouman
Date and place of birth: 7 September 1900
Original address: Gerard Scholtenstraat 62 B, Rotterdam
Occupation/profession: koopman
Status identity card: echt
Ground for hiding out: arbeidsinzet (A.I.)
Hiding address: 137, Oenkerk
District of the LO: Leeuwarden
Caretaker: Verklaring Siderius Siderius
goede pap.
Achterkant beroep: koopman