翻刻
右之通之御書付壱通
御郡司衆御割奉行衆
此判形有之本紙被相
渡慥受取置申上候以上
小梁川亥之助家来
同年 誰重判
十二月十日
たれ同
手戸市蔵殿
牧野孫六郎殿
現代語訳
右の通りの御書付一通、御郡司衆・御割奉行衆、この判形（はんぎょう）のある本紙をお渡しいただき、確かに受け取り置き申し上げ候。以上。
小梁川亥之助家来
同年 誰（某） 重判（花押）
十二月十日
たれ（某） 同（花押）
手戸市蔵殿
牧野孫六郎殿
英語訳
We hereby confirm receipt of one official written document as described above. The郡司 (district officials) and the 割奉行 (allocation magistrates) have duly delivered the original document bearing their seals, and we confirm that we have securely received it. Respectfully stated.
Servant of Koyanagawa Innosuke
Same year [Name withheld] (with counterseal/signature)
12th month, 10th day
[Name withheld] (same, with signature)
To: Tedo Ichizō
To: Makino Magoroku