Dedication to Asklepios. Base of Pentelic marble, preserved on the right and at the back.
| 1 | [— — — —]Ι[— — — — —] |
| [Ἀσκληπ]ιῶ[ι — — — — —] | |
| [— — καὶ Κ]αλλιστόνη ἡ γυν[ὴ] | |
| [— — — —]νος Θηβαῖοι ἀνέ- | |
| 5 | [θε]σαν. vacat |
| 1 | [— — — —]Ι[— — — — —] |
| [Ἀσκληπ]ιῶ[ι — — — — —] | |
| [— — καὶ Κ]αλλιστόνη ἡ γυν[ὴ] | |
| [— — — —]νος Θηβαῖοι ἀνέ- | |
| 5 | [θε]σαν. vacat |