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Name: Jac. Karel van Teeckelenburgh
Date and place of birth: 11 August 1911
Original address: Dorpstraat 44, Beekbergen
Occupation/profession: timmerman
Status identity card: onbekend/niet vermeld
Ground for hiding out: arbeidsinzet (A.I.)
Hiding address: Tuinen 5, Leeuwarden
District of the LO: Leeuwarden
Caretaker: A. v.d. Ploeg
Achterkant beroep: timmerman