It happened in Wyszogród 5/17 September 1849 at noon. Appeared Henryk Karo, farmer 43yr old, and Franciszek Krauze, painter 6/unreadable/ yr old, both of them living in Drwały, and they declared, that 4/16 September in Drwały at /unreadable/ PM died Elżbieta Charlotta Karo, 35yr old, daughter of Adam Witt, wife of farmer, lived in Drwały. She leaved widowed husband, Henryk Karo. After ascertain about Elżbieta Charlotta Karo's death, this record was read in front of declarants, which first of them is a husband of deceased, and signed by me. (?) do not know how to write
/Signature/
Pastor of Wyszogród