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Name: Hendrik Jac. van Cruchten
Date and place of birth: 20 November 1909
Original address: Elmpterweg 10, Maasniel (Gem. Roermond)
Occupation/profession: onderwijzer
Status identity card: echt
Ground for hiding out: anderszins
Hiding address: Mozartstraat 23, Leeuwarden
District of the LO: Leeuwarden
Caretaker: Vreeswijk
Achterkant beroep: onderwijzer