Original address: Gerard Terborchstraat 58, Leeuwarden
Occupation/profession: werkzaam geweest als Adj. Commies N.S., N.S.
Status identity card: gewijzigd
Ground for hiding out: staking
Hiding address: 28, Jellum
District of the LO: Leeuwarden
Caretaker: v.d. Steeg
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