In Białaczów on this day, 17 September 1948, at 12.00 p.m., functionary Jerzy Galant from the Citizen’s Militia Station in Białaczów, with the participation of a reporter, Platoon Sergeant S. Wach, heard the person named below as a witness. Having been advised of the criminal liability for making false declarations and of the wording of Article 140 of the Penal Code, the witness testified as follows:
| Name and surname | Maria Gołąb |
| Parents’ names | Piotr and Maria, née Wójcikiewicz |
| Age | 33 years old |
| Date and place of birth | 8 December 1914, Białaczów |
| Religious affiliation | Roman Catholic |
| Occupation | housewife |
| Relationship to the parties | wife (later remarried) |
As regards the execution by shooting of my husband Józef Kotuszewski, son of Piotr, I know that on 15 December 1944 in the settlement of Białaczów, Opoczno district, during arrests and pacification in Białaczów, my husband Józef was arrested along with three other people: 1) Marian Kubaczyński, 2) Bolesław Siemiankowski, 3) a Pole whose surname I don’t know. The above mentioned Gestapo and gendarmerie led the above named people beyond the estate of Białaczów and killed them in a bestial way, [leaving them] without clothes, with a shot to the back of the head, and then buried them at a random spot in a pit 140 centimeters deep.
Two weeks later the corpses were transferred to the cemetery in Białaczów.
I would like to emphasize that the above mentioned Gestapo men also arrested 16 people and took them to the prison in Tomaszów [Mazowiecki], Łódź voivodeship.
At this the report was concluded, read out and signed.