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English translation:

It took place in Kosuty on September the twenty second/October the fourth, eighteen hundred and fifty, at nine o’clock in the morining. Sról Wolfowicz Maliszewer, forty year old Jew, a tailor, residing in Zaremby Kościelne, appeared with two Jewish witnesses: Mosek Szajkowicz Lewy, age sixty one years old, and Herszek Lejbowicz Donicki, age fifty one years old, both teachers, residing in Zaremby Kościelne. He showed us a baby girl, testifying that a child was born in Zaremby Kościelne on April the second/April the fourteenth, eighteen hundred and forty eight, at five o’clock in the morning. Baby was born to his wife Ryfka Leybkowna, age twenty five years old. His wish is to name this baby Tauba Gitla. The document was read to the testifier and witnesses, and signed by a clerk of the register office. The testifier and witnesses are illiterate.