English Translation

(front side.) Appendix 6 (name of department) to St 17-101-20 on 194 (diary no. or reference number) To the Protectorate Criminal Police — Criminal Directorate Prague — Prague Heftrand There is a cover letter against the person designated on the side — Arrest order — Arbitration request — Detention order*) The person designated at the side is missing*) It is requested to be included in the search certificate of the Protectorates Criminal Police. Occupation- The person named on the side has been placed as a criminal under scheduled supervision habit-.*) *) Delete as appropriate. (back) Last name: First names: for women also earlier names Underline call names Occupation: Father: Mother: Birthday and place: Crime (criminal time): Is there a crime? Requesting authority: Reference number: Person description: Size: Shape: strong, inferior, slim, weak. Hair colour: Eyes: Mouth: Special characteristics: Other*: Be careful when arrested! Gun: yes - no. Traveller perpetrator*) yes — no. Gypsies*) : yes — No. Jude*): yes — NO. Additional remarks: (e.g. Simulated, ejection, etc.) Planned monitoring*) : + — Where Na — Observation*) BS - BF *) Delete as appropriate.