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Name: Theunis van den Berg
Date and place of birth: 2 October 1897, Beets
Original address: Apenstert 2, Zutphen
Occupation/profession: Pakhuisknecht, N. Henzelijn S Lenidon ZutphenNw Hanztelmij S Leunidon Zutphen. Apenstert is voormalige straat in de buurt van Rozengracht.
Identity card: echt
Ground for hiding out: illegaal werk
Hiding address: E. Otter, C 35, Boornbergum
District of the LO: Drachten
Caretaker: E Otter, Boornbergum, C 35