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| Birth -- 4 October 1890 Goirle, Goirle, Noord-Brabant, Nederland |
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| Residence -- 4 October 1890 Goirle, Goirle, Noord-Brabant, Nederland |
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| Occupation -- 24 January 1916 (Age 25) zonder beroep - Goirle, Goirle, Noord-Brabant, Nederland |
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| Civil Marriage -- 24 January 1916 (Age 25) Goirle, Goirle, Noord-Brabant, Nederland Joannes "Jan" van Kollenburg |
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