The presenter is Maria Anatolievna baroness fon Rizenkampf (this is a Russian transliteration of the name).

18 years of age, will go overseas.

150 rubles were collected.

In order to prove this and for a free way this passport with the attached stamp is given. In Sevastopl, 19^th of January, 1920.

Instead of city administrator – his assistant.

Chief of the department /signature/