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Name: Jacobus Corn. Oeberius Kapteijn
Date and place of birth: 24 August 1900
Original address: 's Gravenzandseweg 18, Monster
Occupation/profession: Registrator chef v.d. Afd. Registratie en Archief, gemeente Monster
Status identity card: vals
Ground for hiding out: anderszins
Hiding address: Pelikaanstraat 261, Leeuwarden
District of the LO: Leeuwarden
Caretaker: de Roos
Achterkant beroep: Registrator chef v.d. Afd. Registratie en Archief
Achterkant naam werkgever: gemeente Monster