and Francesco Capizzi age fifty occu-
pation peasant sharecropper, a Sicilian domiciled at Strada Nuova                                           who have
declared that on day thirty of the month of August       
year stated above    at hour three has died in

her own house Luigia Miraglia age
seventy, widow of the late Giovanni Burgio




                     she was born in Serradifalco                   occupation
peasant sharecropper,                                           domiciled at Strada Migliore
daughter of the late Anastasio       occupation ~ ~
                                                  domiciled in
and of the late Filippa Lattuca                    living in ~ ~

    According to the law we went together with the named witnesses to the side of the deceased, and we have acknowledged his actual death. We have today created this document, we have inscribed it on two registers and have read it to the declarants on the day, month and year as above, and it is signed by Us alone,
the witnesses having stated that they don't know how to write.
                  The Elected Alternate
                (Signed) Gioachino Pardo