Translated from Polish:

Death Record No. 53, Scan 48, Maślaki, Evangelical-Augsburg Parish, of Gottlieb Domke, who died in Budy Kossewskie (near Kosewo) on 27th September 1847, death reported on 28th September 1847, he lived 88 years, he was a tenant farmer, at death he left his widowed wife, Anna Katarzyna, born Szram (Schram?), and 4 children. Death reported by Gottlieb Domke, 49 years old, and Krystian Martin, 27 years old, both settlers in Budy Kossewskie.