N(os) Wenceslaus dei gr(aci)a Rex Boemie Dux Cracouie et Sandomirie Marchioq(ue) Morauie
tenore p(re)sencium notu(m) facimus vniuersis q(uod) Nos Co(n)cambio p(er) ven(erabilem) patre(m) d(omi)n(u)m Thobia(m) pragen(sem) Ep(iscopu)m
|...| supplicationib(us) |...|
dedit factam dicta Ep(iscop)o |...| Ciuite |...| Religiosis |...| in |...| f(rat)rib(us) domus S(an)c(t)i Laurencij
|...| a |...| Templi Jerusolimitan(i) in praga |...| |...| g(ra)t(u)m habemus eiq(ue) n(ost)r(u)m benignu(m) p(re)stamus
assensu(m) In cuius rei testimoniu(m) p(re)sens l(itte)ra(m) fieri et sigillo n(ost)ro iussimus munimine co(m)muniri.
Dat(um) p(er) manus mag(ist)ri p(ro)thonotarij n(ost)ri et p(re)positi Wissegraden(sis) eccl(esi)ar(um) canonic(i)
Anno d(omi)ni Mill(esim)o Ducentesimo Nonagesimo Quarto. Vij Id(us) Septembris. Vij. Jndictionis.