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Submitted by Jessica Zering

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Information Picture Question
Category: Translation - German
Approval Date: 4/7/2013 3:25 PM
Family Surname: Ziering
Country: Poland
Town: Krakow
Date of Image: 1940
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This is a piece of a supplemental application given to my cousin by the Nazi authorities. I would greatly appreciate a translation of this document! Thank you so much!

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On  Response 
4/8/2013 2:13 PM it is a questionnaire

loose translation

9. did you register your assets reffering to the obligation to notify for jewish assets?
where? K r a k ow
when? 2 4. A p r i l 1 9 4 0
receipt-number? III / 1 0 7 9
10. you have to answer the following question if qestion 7 or 8 is not answered.
how do you make your living?
My nephew Emil Rosenstrauch is taking care for me.
11. Are you a disabled person by war (possibly WWI)?
due to militry impact my kidney is damaged
(very loose translation)
kind of damage? kidney desease
12.are you healthy? No
if not -waht is your desease? because of an operation my left kidney has a fistula (loose translation)
are you bedridden? yes I am, I can rarely leave my bed

herewith I insure that my statement is true, false data will lead to penalty.

KRAKAU signe by Leiser Ziesing
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