翻刻
別紙割合
一金三百両
内
金百両《割書：当丑｜十一月十五日納》
金百両《割書：寅年｜十一月十五日納》
金百両《割書：卯年｜十一月十五日納》
右日限之通無相違可相
納候以上
右七月三日町年寄拾町丁代
多町相生町仮町代於
御白洲に御月番
野木様被 仰渡候
町仕送
有賀治右衛門
右之者義不勝手罷成其上
病気に付町仕送役願之通
差免候
【以下次コマへ】
現代語訳
【別紙の割合（内訳）】
一、金三百両
内訳
金百両（当丑年十一月十五日納）
金百両（寅年十一月十五日納）
金百両（卯年十一月十五日納）
右の期日通り、相違なく納めること。以上。
右は七月三日、町年寄・拾町丁代・多町・相生町・仮町代が御白洲において、御月番・野木様より申し渡された。
町仕送（役）
有賀治右衛門
右の者、家計が立ち行かなくなり、その上、病気につき、町仕送役の辞退願いの通り、これを免許する。
英語訳
[Appended document: Allocation details]
One item: Three hundred ryō in gold
Breakdown:
One hundred ryō — to be paid by the 15th day of the 11th month of the current Year of the Ox
One hundred ryō — to be paid by the 15th day of the 11th month of the Year of the Tiger
One hundred ryō — to be paid by the 15th day of the 11th month of the Year of the Rabbit
The above amounts are to be paid without fail by the specified deadlines. The above.
The foregoing was officially conveyed on the 3rd day of the 7th month to the town elders (machidoshiyori), representatives of ten town blocks, Ōmachi, Aioichō, and the provisional town representatives, in the public court (o-shirasū) by Lord Nogi, the monthly duty officer (o-tsukiban).
Town supply officer (machi-okuri)
Ariga Jirōemon
The above-named individual, having fallen into financial difficulty and additionally being ill, is hereby relieved of his duties as town supply officer, as per his petition.