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Name: Jelle Bergsma
Date and place of birth: 28 May 1893
Original address: Heemskerkstraat 2 B, Rotterdam
Occupation/profession: Opperwachtmeester, Staatspolitie
Status identity card: gewijzigd
Ground for hiding out: anderszins
Hiding address: J. Visser, Birstum, Akkrum
District of the LO: Leeuwarden
Caretaker: Bergsma
Achterkant beroep: Opperwachtmeester
Achterkant naam werkgever: Staatspolitie