Translated from Polish:

Death Record No. 46, Tłokinia parish, Kalisz, Priest acting as officer of Civil Records Office, of Marcin Kura, who died in Kolonia Nowa on 27th September 1859, at 7 pm, death reported on 30th September 1859, at 4 pm, he lived 3 years, stayed with his parents and was there born, son of Bartłomiej and Antonina, married couple Kura, farmers in Kolonia Nowa. Death reported by Marcin Dziedzic, 39 years old, and Marcin Olejnik, 38 years old, both farmers in Kolonia Nowa. After confirming with my own eyes the death of Marcin Kura, this record was read and signed.