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Bith. — Nikomedeia (Izmit)
| 1 | ἀγαθῆι τύχηι. |
| κατὰ τὸ κρῖμα τῆς βουλῆς καὶ | |
| τοῦ δήμου Οὐλπιαν<ὴν> | |
| Δημητρίαν Φλαου̣ί̣ου Ῥούφου | |
| 5 | γυναῖκα Π. Αἴλιοι Οὐλπιανοὶ |
| Χρηστίων καὶ Σωσίβιος καὶ | |
| Νικομήδης τὴν ἑαυτῶν ἀδελφήν. |