No. 64
Wągrowiec, April 16, 1912
Appeared before the undersigned registrar today, personality recognized by reference to earlier notification, the farmer Walentin Rybak living in Bobrowniki and reported that Adalbert Rybak person on life estate, widower, 74 years old, Catholic religion, living in Bobrowniki, born in Łaziska, son of the Rybak spouses who died in Łaziska, whose other names are not known, in Bobrowniki, in his apartment, on the seventeenth of April 1912, died at eleven o'clock in the morning.
The applicant declares to make the advertisement out of his own science.
Read, approve and sign
(-) Walenty Rybak
Registrar
In representation
(-) unreadable
https://pl.wikipedia.org/wiki/Bobrowniki_(Rudnicze)
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