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Epeiros — Dodona — ca. 425-400 BC — AEMÖ 4 (1880) 61, 1 — SGDI III,1 3226 — SGDI II 1566
| face A.1 | Α̣ΣΣΧ̣․ |
| [τί]νι κα θεο͂[ν] | |
| [ἢ ἡρ]όˉοˉν εὐχ[ό]- | |
| [μενος] ὑγιὴς εἴη. | |
| face B.1 | [— — —] ἰατρ̣ὸν(?) |
| [— — —]ικός. |