Translated from Russian:

Death Record No. 117, Konin, Evangelical-Augsburg Parish, of Elzbieta (Elisabeth) Milbradt, who died in Szyszynek on 3rd September 1895, death reported on 4th September 1895, she lived 10 days, daughter of Juliusz Mibradt and of his wife, Augusta Milbradt. At death she left those parents. Death reported by Juliusz Marcinkowski, a laborer, 39 years old, from Szyszynek, and Emil Milbradt, a farmer in Szyszynek, 37 years old.