Informally examined as a potential witness:
| Name and surname | Stanisław Kozłowski |
| Parents’ names | Piotr and Małgorzata, née Mobdów |
| Age | 41 years old |
I hereby declare as follows: in the month of June 1944, during the German occupation, the son of a neighbor – well known to myself – was arrested and executed by the Germans. The youth’s name was Antoni Szczęśniak, and he lived in Kępeczki, commune of Brzezina, district of Kozienice. The body of the late Antoni Szczęśniak was buried in the settlement of Laski, commune of Suskowola, district of Kozienice.
I confirm the veracity of the above testimony with my own handwritten signature.