STATE SECRETARY TO THE RUSSIAN PROTECTOR IN THINGS AND IN MORAVA, PRAGUE, inv. 1411, sig. 109-4/1165

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English Translation

120 FOR OFFICIAL CONTRACTS ONLY FOR OFFICIAL REFERENCES POUZE PRO ÚREDNİ ZÁZNAMY POUze Pro Úrednİ ZáznaMY Special skills (e.g. driving licence for motor vehicles) Zvlášıni zpúsobilosı (na př. Vădei list) at work AREAITSB PRAGOVNIKNIZKA PRACOVNICHNIZka (Stamp of the health insurance institution) Signature — Podpis (Razitko nemocenske pojištovny) Occupational group and type Skupina a druh povoláni IARO Self-handed signature of the Inhàber PRAC Vlastnoručni podpis majitele