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Bith. — Nikomedeia (Izmit)
| 1 | ἀγα[θ]ῇ τύ[χ]ῃ. |
| Ἀρρ[ια]νῷ Φλα[β]ίῳ [στρα]- | |
| τοπ[εδάρ]χῃ Καπ[π]α[δο]κίας | |
| ὑπά[τ]ῳ [κα]ὶ ἱερ[ε]ῖ [τ]ῶν | |
| 5 | θεῶ[ν Δ]ήμητρ[ο]ς καὶ |
| Περ[σε]φόν[η]ς — — — | |
| — — — — — — — — — — | |
| μν[ήμ]ης χ[ά]ριν. |