Material: papyrus
ἔχω ἐγὼ Ἰωάννης υἱὸς Γεγωργί[ου]<gap/> 
 ἔχω ἐ[γὼ Ἰωάνν]ης υἱὸς Γεγω[ργίου]<gap/>     
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 ἐν ὀ[νόματι]<gap/>
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