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Name: Hendrika Polack
Date and place of birth: 3 July 1894
Original address: Joan Maetsuyckerstraat 53, `s Gravenhage
Religion: Joods/Israëlitisch
Hiding address: H. Bruinsma, 54, Wolsum
District of the LO: Sneek
Brought to reception address by: Bertus
Brought to hiding address by: M. Eisma, Wolsum
Other remarks Bijzonderheden: vertrokken naar `s Gravenhage, Wagenstraat 18