English Translation

ITS 264 Level III List H tAll forms must be submitted in five copies.) Gemeinde..Rotenburg/R. Landkreis.Rotenbarg/. SSeer Exhibiting authority..Ausländerguchstelle List of all health and medical records. InI staatl. Gesundheitsamt Rotenburg/F. List of medical and health records. Nationalitat h 3 (For each nationality a special form is to be used) Birth -99 Dates issued by whom? Place of storage of family name First name date bad Type d Exfüllung Original certificate m. der Ürkunden [Hospital, Klinik, und -ort d Dokumenten (Hrankenhausverwaltung w. Physician etc?) Prison, doctor etc. 1 2 3 4 § 9 7 8 TOsseg Toouy 5.5.18 UE Louis 15.2.08 m Unterla- Catalon Fruhj. Gesundleitsemt Caumenil CO0CEO 2.5.22 1 uen Sne Rotenhurg/F. 26.3.20 - 1946 VCechon Gaston O Gelestin Jean 30.5.14 - dung von o 26.2.22 1946 Cernin Chsmberlain sonboep 2.9.22 m Rene 26.9.22 An LO m8 ConeeA Taete 4.3.22 BB Chauvet Gilbert 4.3.21 Chaventre Albert 6.4.22m Roland 27.1 .22 2 Chauvest Celine 12.11.23 B3 COOO Chenon Reine 10.7.21 BTOUOA Katharina 27.6.21 Cholley uoronn 6.1.06 Janine 4.12.24 1 OLO 26.7.24 F Clasing aeae Cnecato Ines 20.1.25 m VCocher Robert unbekannt O Colomina F rancois 4.4.22 ines 16.7.26 DOCUMENTS STORING COPY Condere Rene 23.1.22 M Coste Jules 9.9.22 E 1560 BO Tued TT'1'6T E US Inv. No. VCuato sout 10.1.25 U VCultiaux OnTV 10000 W OTTCanD Cesar 18.3.95 E VDairia Joseph 19 years u Florentinei2.1.22 vDal Negro Ricardo 5.6.99 dasE Rolande 14.12.12 De fellee ronn 15.7.96 V Debre Emil unknown Deboef Gilbert soqun Decobegn Gervais 27.10.22 Dechamps paequaen 16.5.22 0 /Degerie Jean unknown LI OUsIOUsO Edmund 8.4.23 m u eaf 28.8.12 V Deguere U Deladier eg 7.1.20 W 27.5.18 Sienvture/Stamp) /Delandre Robbert U Maroeden VDelennoy 4.12.21 U Dolbos Raimond 4:4.22 VDe Luca Maria 24.10.23 Stamp) C Eduard 27.12.21 m MoUOd Gebüdrudk Darpstadt-Arheigenanknown 10 De Negri Juanne 24.11.24 m