In memory of the late [blank] who departed this life, [blank] 184[blank] aged [blank] years

Within mourning border; pasted on card with dark edges folded over broadside to make dark brown border with narrow gilt edges and colored marbled paper backing. Printed area measures: 9.1 x 7.0 cm. Text of poem or hymn in three four-line stanzas; third stanza begins: Wakn [i.e. Waken], O Lord, our drowsy sense. At end of text: Funerals furnished by T. Turner, Confectioner, West Street, Sheffield. Blanks filled in in ms. on Brown University copy.