Translated from Russian:

Death Record No. 295, Lodz, Sw. Trojca, Evangelical Parish, of Henrietta Luiza Ziegler, born Fridrich, who died in Lodz on the 13th July 1911, death reported on 14th July 1911, she lived 92 years, born in Ober-Peilau, bliz Reichnau, in Silesia, daughter of a merchant, Johann Baptista and Luiza Henrietta, born Veissih (or Veissig), deceased Fridrich couple, she is a widow after death of Karl Ziegler, a cloth maker (fabricant). Death reported by Rudolf Fibich, 44 years old, and Otto Oskar Lentz, 36 years old, local teachers.