Οὐα̣λε̣ρ̣ίῳ Ἥρ̣ωνι τῷ [καὶ Σαραπίωνι λογ(ιστῇ)]
Ὀξυρυ[γχίτου] παρὰ τοῦ κοινοῦ τῶν ς̣ [λαμ(πρᾶς)] κ̣α̣ὶ̣ λαμ(προτάτης) Ὀξυρυγχιτ[ῶν πόλεως διὰ]
[μηνιαρχῶν Α[ὐρ(ηλίων)]
καὶ Σαρμάτου Ἀρτεμιδώ[ρου ἀ̣μ̣φ̣ο̣τ̣έ̣ρ̣ω̣ν̣ ἀπὸ τῆς] [αὐ]τ̣ῆς πόλεως. αἰτο[ύμεθα (?)]
(No Latin text was extracted from the document.)
To Valerius Heron and to Sarapion the accountant of Oxyrhynchus, from the common [of the] [lampras] and the lamprotatēs of the Oxyrhynchites city through the monthly officials of the Aurelians and of Sarmatus Artemidorus, both from the same city. We request (?)