Translated from Russian:

Death (not Birth) Record No. 5, Konin, Evangelical-Augsburg Parish, of Henrietta Milbradt, who died in Konatki on 12th Januray 1895, death reported on 12th January 1895, she lived 6 and a half months, she stayed with her parents in Konatki, she was daughter of Adolf Milbradt, 42 years old, a farmer in Konatki, and of his wife, Julianna, born Pahl. At death she left her above-mentioned parents. Death reported by Adolf Milbradt, father of the deceased infant, and Adolf Lengert, a farmer in Modła, 25 years old.