Tijdstip: 15:15:00
Geloof: rooms-katholiek.
Adressen in Rotterdam in periode 1914-1916: Willemsstraat 8 en Zwarte Paardenstraat 698.
Adressen in 's-Hertogenbosch: Snijdersplein 13 (1912) en 2 (1916).
Woonplaatsen: 's-Hertogenbosch (1912, 1914); Rotterdam (1914-1916); en 's-Hertogenbosch (1916).
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