Transcription
Original in Russian · printed form filled in by hand
Reading checked by Dmitry Karasev; words still uncertain remain followed by [?].
The title « Count » before the names was crossed out on the document; a Soviet stamp « Passport issued 1936 » is added. Rossieny is today Raseiniai, in Lithuania.
Original text (Russian)
Выпись изъ метрической книги, часть первая, о родившихся, за 1913 годъ.
Счетъ родившихся : женска пола 11. Мѣсяцъ и день : рожденія 31 мая, крещенія 11 іюня.
Имена родившихся : Татіана […]
Званіе, имя, отчество и фамилія родителей и какого вѣроисповѣданія : [Графъ — rayé] Георгій Іосифовичъ Дорреръ и законная жена его Ольга Даниловна ; оба православнаго вѣроисповѣданія.
Званіе, имя, отчество и фамилія воспріемниковъ : [Графъ — rayé] Алексѣй Іосифовичъ Дорреръ и [Графиня — rayé] Екатерина Георгіевна Дорреръ.
Кто совершалъ таинство крещенія : Протоіерей Петръ Преображенскій съ псаломщикомъ Матвѣемъ Бережнымъ [?].
[Tampon :] ПАСПОРТ ВЫДАН 1936
Г. Россіены, іюня 17 дня 1913 года. Что сія выпись съ метрическою книгою вѣрна, въ томъ, съ приложеніемъ печати Россіенской Свято-Троицкой [?] церкви, свидѣтельствуетъ : Протоіерей Петръ Преображенскій. Псаломщикъ Захарія Афанасьевъ [?].
English translation
Extract from the parish register, first part, of births, for the year 1913.
Number of births: female, 11. Month and day: born 31 May, baptised 11 June.
Name of the child: Tatiana […]
Rank, first name, patronymic and surname of the parents, and their faith: [Count — crossed out] Georgy Iosifovich Dorrer and his lawful wife Olga Danilovna; both of the Orthodox faith.
Rank, first name, patronymic and surname of the godparents: [Count — crossed out] Alexei Iosifovich Dorrer and [Countess — crossed out] Ekaterina Georgievna Dorrer.
Who performed the baptism: Archpriest Pyotr Preobrazhensky, with the psalmist Matvei Berezhnoy [?].
[Stamp:] Passport issued 1936
Town of Rossieny, 17 June 1913. Archpriest Pyotr Preobrazhensky certifies that this extract agrees with the parish register, with the seal of the Holy Trinity [?] church of Rossieny. Psalmist Zakhary Afanasyev [?].