Translated from Russian:

Death Record No. 3, Konin, Evangelical-Augsburg Parish, of Rozyna (Rosyna) Milnikel, born Milbradt, who died in Lisiec Nowy on 20th January 1912, she lived 73 years, she was a widow after death of August Milnikel, daughter of deceased farmer, Jan Milbradt, and of his wife, the first name not known to those reporting, maiden name Drogobosch (?). Death reported by Wilhelm Milnikel, 43 years old, living in Lisiec Nowy, and Jozef Bulman, 48 years old, living in Kazimierów.