English Translation

ITS 151/6 ITS_151 Med. Category III. (All forms are to be submitted in five forms. 7 municipality Land- Oberbtyern copies) kpeis. Stadt- Ausstelende Verwaltung Landesversicherungsanstalt Oberbayern München 22, Widenmayerstraße 3 List of all applied Nationals and all other foreigners, German Jews and stateless ete. who were temporarily or permanently stationed in the community, but are no longer in residence. List of names of all United Nations military and civilians, other foreigners, German Jews and stateless persons who have temporarily or continuously stayed in the municipality of Oberbyero, but now no longer live there. For married couples also specify maiden name and nationality of the wife. 0205 N (For each nationality a special form is to be used.) Name Christian Name Date and Place Usual place Type of By who Sex Type of Unit Date of sojourn Date of certificate Locality of original records of Birth of residence Documents prepared? Family Name Birth date Data of the expatriates issued by whom? First name Gender Place of storage and place of origin Type of unit Residence data Type of document National code? Working document Office of the Offices m. w. der Öriginalakten v. Nazi-Organisations? 1 2 8 4 5 6 L 8 6 10 11 A.V., map Mayor of Landesvers.-Anstalt Oberbayern Chemlik Stanislaus 13.11.96.m 1.1, 44, 26.4.45, 4 17 1.44. Fngo2stadt Dübade Christianell mspy wtb'b'tv 4 311.5, 43. Rosenheim 30,4,43.37, 3.45. Bozen Czinke Pail 21. 8. 93. theme— 929,12.43. Moosburg 37,10,421,37,72.44, 4 Prinzenthal/Bromberg Constant Andree 31. 5, 22. them— 13.8,43,30.11.43. 0 1 25,11,43 Mimchert Criele Creutzberg Boudewyn 28,6,22.m 18.5.43.20.5,44 113,10.43, Salatiga/ndien Couvnet Henrik 6,9,22. and b 113, 10,43. Doeban Cerny Antonún w.0rb'tr h 1 8,3,43, 1, 4,311.3, 45. Fglai Fosef Czerni 9.8.24.m 14.244.25.9,44. 18.4.44. 4 4 4 Prague FosEF Charvat g.5.24. -m 4 125.3.44 217 2.44.11,12.44. n 4 mouz Fean 1 25,70.43 Chevalier 25.722. ue 13,8,43.28.2.45, 4 4 St,fulien de Chedon signauteatiop) (Date/Date) Munich Wauger. 2.12.47 den (Stamp) (Signature of the ausstehörde) From the Quittun gskarte is J.G. Weiß'sche Buchdruckerei und Verlag, Munich. *33*902893 not visible as part of form 7 Waher is not required to conform to form 11.