No.. 19
Antonia, am 28. November 1903
Before the undersigned registrar appeared today, the personality to known
the colonist and rolling workers
Lorenz Sczepurek
living in Antonia, Catholic Religion,
and indicated, that of his wife Ma-
series Sczepurek, born Ko-
chanek, Catholic Religion,
residing with him, to
Antonia in his apartment
eighth day
November this year
afternoon at three
and a half hours a
Dead Girl gebo-
ren was.
Opposite twenty
deleted print lines
and above eight
ge lines on the edge-
wrote.
Read over, approved and
signed
hindsight. Lorenz Sczepurek
the registrar
hindsight. weary
The agreement with the main register authenticated.
Antonia, on the 28th of November 1903
The registrar
weary
————————————–
No.. 19
Antonia (Antoniów), day 28. November 1903
Before the undersigned officer of marital status appeared
It is known today as to the person
colonist and roller Lorenz Sczepurek,
They are residing in Antoniów, Catholic,
and reported, his wife Marie Sczepurek from home lover,
Catholic, She lives with him,
in his apartment in Antoniów, day 28.listopada 1903 year
at 330 pm, She gave birth to a dead baby girl.
Twenty-printed lines were removed next
and recorded eight of these lines.
read, approved and signed.
podp. Lorenz Sczepurek
The civil
weary
For conformity with the main register
Anotnia (Antoniów), day 28. November 1903
An official of the Civil stau
weary
____________________
pzdr. Stefan
.
