Help identifying names and dates on Polish registry #poland #translation #records


I need help extracting information from an death entry on Polish registry, for my uncle Naftuli Feld.

The document is on vewmate:

I hope it might have: date of death, names of parents, cause of death, etc. 

Help much appreciated. 

Relly Coleman
FELD, Dobrzyn nad Wisla, Zakroczym