Translated from Polish:

Birth Record No. 16, Konin, Evangelical-Augsburg Parish, of Anna Julianna Münch (or Muench), born in Węglewskie Holendry on the 30th January 1841, christened on the 21st February 1841, daughter of Jan Münch (or Muench), a settler in Węglewskie Holendry, 38 years old, and of his wife, Rozyna, born Mykk, 34 years old. Witnesses: Marcin Heillmann, 36 years old, and Fryderyk Schmidt, 35 years old, both settlers in Węglewskie Holendry. This infant was given the name in the presence of the above-mentioned witnesses. Signature of Martin Heillmann.