Translated from Russian:

Birth Record No. 65, Pamięcin Parish, Kalisz, Wielkopolska, Poland, of Jan Sipka, born in Bogucice on 11th June 1907, at 10 pm, christened on 16th June 1907, at 10 am, son of Maksymilian Sipka, a farmer living in village Bogucice, 30 years old, and of his wife, Pelagia, born Kordylas, 22 years old. Witnesses: Marcin Tokarski, 35 years old, and Jozef Sipka, 60 years old, both farmers living in village Bogucice. Godparents: Marcin Malecki and Cecylia Kordylas.