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| ouders | V: Hendrikus Wilhelmus M: Kimenai, Cornelia Hendrika |
| naam | Ansems |
| voornamen | Othilda Paulina Maria |
| geslacht | vrouw |
| geboorte: | * 02-08-1944, Dongen |
| overlijden: | |
| huwelijk | × 11-11-1966, Dongen |
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