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Name: Jan Haarsma
Date and place of birth: 29 January 1898
Original address: Menaldumerstraat 7, Leeuwarden
Occupation/profession: Kruidenier, -
Status identity card: geen
Ground for hiding out: arbeidsinzet (A.I.)
Hiding address: Menaldumerstraat 7, Leeuwarden
District of the LO: Leeuwarden
Caretaker: - Koster
Achterkant naam werkgever: -