It(em) henr(icus) de lovanio accepit scerpam et bac(u)l(u)m cor(am) [coram] scabinis lovanien(sibus) subsc(ri)pt(is) ad/ facie(n)d(um) pe(re)g(ri)nat(i)one(m) ad s(an)c(tu)m jacobu(m) in compostella in eme(n)dam et reco(n)siliac(i)onem/ mort(is) gosuini quond(am) bone int(er)fecti p(er) henricu(m) an(te)d(i)c(tu)m borch(oven) oppendorp januarii/ s(ecund)[a]