Translated from Russian:

Death Record No. 8, Pamięcin Parish, of Julianna Kuśniarek nee Maćkowska, who died in Szadek on 26th February 1874 at 5 am, death reported on 28th February 1874, at 9 am, she was 30 years old, she lived in Szadek, she was born in Pamięcin, daughter of Marcin and Franciszka, married couple Maćkowski, both already deceased. At death she left widowed husband, Jan Kuśniarek from Szadek. Death reported by Jakub Gojnacki, 50 years old, and Jan Urbaniak, 40 years old, both farmers living in Szadek. After confirming with my own eyes the passing of Kuśniarek, this record was read and signed.