Viewmate Translation Request, Russia (I think) #lithuania #russia #translation

Ancestry Mail

Subject: ViewMate translation request - Russia (I think)
I've posted a vital record in Polish for which I need a translation. It is on ViewMate at the following address ...

This text may be from a Russian passport around 1914 or 1915. I'd like to know:

1. What is the English translation of the entire text?
2. Which town names are given, if any?
3. What language is the text written in?
4.  Is a date included in the text?

Please respond via the form provided on the ViewMate image page (above).
Thank you very much.

Mark Ellet.
San Francisco, CA USA