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Name: Jacob Polak
Date and place of birth: 27 July 1877
Partner: Louise Alice Grodle
Original address: Albert Hahnplantsoen 27, Amsterdam
Religion: Joods/Israëlitisch
Hiding address: B. de Jong, 95, Heeg
District of the LO: Sneek
Brought to reception address by: Coehoorn, Lemmer
Brought to hiding address by: Groen Groen
Zich noemende en schrijvende J.Polak-Grodel
Pb aanw.
Zich noemende en schrijvende J. Polak-Grodel