Held in Posad Govarchev on the twenty-eighth of December, one thousand nine hundred year.
On January 10, one thousand nine hundred and one year, at ten o’clock in the morning, Simha Reshelbuh, thirty-four years old, and Aizik Eisenberg, thirty-eight years old, came to Posad Govarchev and announced: on December twenty-eight Year one thousand nine hundred, at the morning of six hours, Khaim Deikh died, his son Moshka and Fradka, nee Rosenfarb, leaving behind her widowed wife Khana-Tsinia, nee Stud. According to the present certificate of the deceased "Chaim Daih", this act is present, read by us and witnesses signed:
Simha Reshelbuh Isaac Eisenberg
Ravin Yakub Brockman
(not clear) civil status signature
Comment: Lust name of the person not Deych, but Deikh.
Text is a formal death certificate of Khaim Deikh.