Translated from Russian:

Death Record No. 23, Sompolno, of Michael Weiss, who died in Półwiosek on 16th February 1891, death reported on 17th February 1891, he lived 67 years, he was a settler, born and lived in Półwiosek, son of Bogusław and Eleanora, born Zims (Simms), married couple Weiss, who were settlers there as well. At death he left widowed wife, Wilhelmina, born Prietz. After confirming with my own eyes the death of Michael Weiss, this record was read to those reporting the death and signed. Death reported by Bogusław Zimms, a settler, 70 years old, brother-in-law of the deceased, and Ludwik Benkendorf, a laborer, 31 years old, who knew the deceased, both living in Półwiosek.