Translated from Russian:

Death Record No. 13, Konin, Evangelical-Augsburg Parish, of Gottlieb Milbradt, who died in Nowy Czarków on 12th February 1915, death reported on 12th February 1915, he was 94 years old, a settler living in Kramsk, District Konin, he was a farmer, widower after death of his wife, Luiza Milbradt, born Fenger, he was son of parents unknown to those reporting, he was born in Gadów. Death reported by Juliusz Krüger, 31 years old, and Michael Wentzler, 65 years old, both farmers living in Nowy Czarków. Signature of Julius Krüger.