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Viewmate translation request-Polish

Linda Habenstreit
 

I request a full translation, if possible, of the Polish text on death record number 33 from page 42 of the Polish State Archives, Archive 88, Fond 1264, for Belzec, Poland. It is on ViewMate at the following address:
http://www.jewishgen.org/viewmate/viewmateview.asp?key=VM76609.

Please respond using the online ViewMate form.

Thank you so much,

Linda Habenstreit