Translated from Russian:

Death Record No. 21, Konin, Evangelical-Augsburg Parish, of Matylda Milbradt, who died in Czarkow on the 13th March 1878, death reported on the 14th March 1878, she lived 15 days, daughter of Ludwik and Louiza, born Speichert (Schpeichert in Russian), married couple Milbradt, settlers living in Czarkow. Death reported by Michal Kinel, a church servant, 67 years old, and Fryderyk Schultz, a laborer, 57 years old, both residents of Konin.