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Name: Jan Matthieu Henri Baron van Heemstra
Date and place of birth: 10 March 1916
Original address: Lijsterstraat 3, Leeuwarden
Occupation/profession: waarnemend ambtenaar O.M., kantongerechten in het arr.Lwd.
Status identity card: gewijzigd
Ground for hiding out: arbeidsinzet (A.I.)
Hiding address: 198, Oudwoude
District of the LO: Leeuwarden
Caretaker: Ds Wymenga
Achterkant beroep: waarnemend ambtenaar O.M.
Achterkant naam werkgever: kantongerechten in het arr.Lwd.