Date and place of birth: 26 September 1897, Boelenslaan,gem. Achtkarspelen
Original address: 19, Houtigehage
Religion: Nederlands Hervormd
Occupation/profession: Veehouder, Eigen bedrijf.
Identity card: gewijzigd
Ground for hiding out: arbeidsinzet (A.I.)
District of the LO: Drachten
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