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Name: Jacob Kuipers
Date and place of birth: 1 October 1902
Original address: Tuindorp 84, Haren (Groningen)
Occupation/profession: Bankwerker, Ned Spoorwegen. Geen Tuindorp in Haren bekend, maar wel Tuindorpweg.
Identity card: gewijzigd
Ground for hiding out: staking
Hiding address: Zuiderdwarsvaart 5, Drachten
District of the LO: Drachten
Caretaker: Fokke Postma
Other remarks Bijzondere opmerkingen: Op P.B. beroep gewijzigd