No. 93
Woźniki (Woischnik), day 11 grundia 1876
Before the undersigned officer of marital status appeared
Today we know a fine host (Stellenbesitzer) Stanislaus Wylezalek
residing in Meadow (Lohne) and reported, that
dożywotniczka (Auszüglerin) Ursula Jarzombek, 83 patch, Catholic,
residing in Meadow (lohne), born Woźnikach (Woischnik),
in the past married to the deceased already we hosted the city (Ackerbürger)
Andreas Jarzombek, daughter of the late host of the city (Ackerbürger)
Matheus Otrembnik and his late wife (name unknown) of the house (? Flakni, Hackney, forgive …)
in the Meadow (Lohn) in the household of the applicant died on 10. of December 1876
at 1030 am.
read, confirmed and signed
Staś Wyleżalek
The civil
…
____________________
pzdr. Stefan