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Makedonia (Chalkidike?) — Mesimeri? — reign of Hadrian — Mendel, Cat. des Sculptures 3 (1914) 269, 1049 (prov.) — JDAI 84 (1969) 151, R13
| 1 | Διζαλας Γερμανοῦ |
| Δουλαριωνι καὶ Διζα- | |
| λᾳ Βείθυϊ τοῖς τέ- | |
| κνοις ❦ μνήμης ❦ χάριν | |
| 5 | καὶ ἑαυτῷ καὶ τῇ γυ- |
| ναικὶ ζῶν. |