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Name: Hendrina Elisabeth van Dam
Date and place of birth: 30 September 1911
Partner: Joseph van Straten
Original address: Uiterwaardenstraat 67, Amsterdam
Hiding address: E. Schreur, 100, Echtenerbrug
District of the LO: Sneek
Brought to reception address by: Mollema, Oosterwolde, Ger. Pred.
Brought to hiding address by: Ph. Spits