English Translation

1106 10001001 Lfbr. gcboren mo jest employed E va k uieru n g sgt u n d n d a me First name and where (place, county) resident (facts) 226 when tobsehin Mazanr Msgan Sichliebi 7rftr gift th. 45 52 Jomim 31.5.29 Sreom Sufffintif yofin. 52 Pidelho Lisneiy 31.7.92 11 11 rmi 152.99 Shodmica "1 "1 Cf giefs. eth. 52 53 1 Srenr 4 Tin" . 54 " tomis 2.9.22 " Bsehemisel 2i 55 4 Jadniga 13.7.25 4 " Srosmr " Mitts " * 56 1 Tanin13.4.63 Feamodop unfg 57 Suthonsti 70iis 11.12.22 4 " Bni7.1.? "1 11 afr zü lf r. 57 58. "1 11, n Fogtr 59 a tomislmmen 7.1.30 ! 1 Nadreseh 11 Dnlffindig mimgetall 60 Wismienti 223.2.03 11 61 tersin i 11 af gi f. M. 60 "1 mime 31.1.07 Jama 8.9.68 Beisghi 4 Beittn.. 62 11 1 Tigmborati eentiel.10.8.88 Radom 11 irilfffaimdif gpfiomt. 63 # Sielan 5.7.88 Liponvill 1 1/ f gi ef i.63 64 1 3i80 20.4.27 Simme 11 nf 65 1 " * / 11 tymint 20.4.23 11 11 11 11, 11 U/1 66 1I Srgeszenski Celme 3.6.08 Sollib " 11 de Rimtstormintat fomnlsbfhnf Jrinter 67 Sheepen 1.I1941. Mayor Jch befcheinige as the responsible that the reasons given in column 7 evacuee the Tatsadhen enkpidf C. Behmte Drtsvorfteher, Yes I am aware that idh makes me shameful and punishable by presumptuous or driving false information. (Unterfchrift)