翻刻
年号 月 日 何寺印
右何寺差上候書付之通相違無御座候以上
同末仲ケ間之内一ケ寺
何寺印
《割書：町｜村》役人印
檀中惣代
何某印
御朱印地除地并持高持山等有之ハ
其地所之
《割書：町｜村》役人印
但同末仲間無之寺院ハ宗旨由縁有之寺院加印之事
〆
覚
一社壱ケ所 何郡 何町
何村
所祭之神何庄何々之神鎮座之由来
一社并社地拝殿末社等之間数
一社地之外ニ致支配来候堂社式跡地等之地面間数当時建物之有無
但右堂社跡地等何ノ年ゟ致支配之訳
一御朱印地除地等之由来
一持高持山等之由来
一御寄附知行高并由来
一葵御紋冪類御寄附所持之由来
一禁制札有之候ハヽ由来
一別当宗旨格式并本山何国何寺
一神主格式
一別当神主当住職之年数
但無住ニ候ハヽ何ノ年ゟ無住之訳
右此度御改ニ付書付差上申候以上
年号 月 日 別当 何院印
神主 何某印
右別当何院神主何某指上候書付之通相違無御座候以上
現代語訳
年号 月 日 何寺印
右何寺が差し上げた書付の通り相違ございません。以上
同末仲間の内一ヶ寺
何寺印
町（村）役人印
檀中総代
何某印
御朱印地除地並びに持高持山等がある場合は
その地所の
町（村）役人印
ただし同末仲間がない寺院は宗旨由縁のある寺院が印を押すこと
〆
覚
一、社一ヶ所 何郡 何町
何村
祭っている神は何、何々の神で鎮座の由来
一、社並びに社地拝殿末社等の間数
一、社地の外で支配してきた堂社旧跡地等の地面間数、当時建物の有無
ただし右堂社跡地等を何年から支配している理由
一、御朱印地除地等の由来
一、持高持山等の由来
一、御寄付知行高並びに由来
一、葵御紋幕類御寄付所持の由来
一、禁制札がある場合は由来
一、別当宗旨格式並びに本山は何国何寺
一、神主格式
一、別当神主当住職の年数
ただし無住の場合は何年から無住の理由
右、この度の御改めにつき書付を差し上げます。以上
年号 月 日 別当 何院印
神主 何某印
右別当何院神主何某が差し上げた書付の通り相違ございません。以上
英語訳
[Era name] [Month] [Day] [Temple name] seal
The above corresponds exactly to the written report submitted by [temple name]. End
One temple among the affiliated temples
[Temple name] seal
Town (Village) official seal
Parishioner representative
[Name] seal
For those with shogunal seal lands, tax-exempt lands, and temple holdings, mountain holdings, etc.:
Of those locations
Town (Village) official seal
However, for temples without affiliated temple colleagues, temples with sectarian connections shall affix their seals
Total
Memorandum
1. One shrine [Which District] [Which Town]
[Which Village]
The enshrined deity: what god, the origin of the enshrinement of [specific] deity
1. Measurements of the shrine, shrine grounds, worship hall, auxiliary shrines, etc.
1. Halls, shrines, and historic sites under jurisdiction outside the shrine grounds: ground area, presence or absence of current buildings
However, the reason for jurisdiction over said halls, shrine sites, etc. from what year
1. Origin of shogunal seal lands, tax-exempt lands, etc.
1. Origin of holdings, mountain holdings, etc.
1. Shogunal donations of stipend rice and their origin
1. Origin of possession of curtains with Tokugawa hollyhock crest and similar donated items
1. If there are prohibition notices, their origin
1. Betto's sectarian affiliation and rank, and which temple in which province is the head temple
1. Head priest's rank
1. Number of years of tenure of the current betto and head priest
However, if vacant, the reason for vacancy from what year
The above written report is submitted regarding this inspection. End
[Era name] [Month] [Day] Betto [Temple title] seal
Head priest [Name] seal
The above corresponds exactly to the written report submitted by Betto [temple title] and Head priest [name]. End