Translated from Polish:

Death Record No. 18, Tłokinia Parish, Kalisz, of Bartłomiej Kura, who died in Kolonia Nowa on 5th April 1863, at 7 am, death reported on 8th April 1863, at 8 am, he lived 55 years, he was a farmer in Kolonia Nowa, he was born in Tłokinia, son of Wawrzeniec and Józefa, married couple Kura, already deceased. At death he left widowed wife, Antonina. Witnesses: Andrzej Pielas, 40 years old, and Marcin Dziedzic, 39 years old, both farmers in Kolonia Nowa. After confirming with my own eyes the death of Bartłomiej Kura, this record was read and signed.