Supplicant: <Titel 'Dr. med.'> Martinus Copus
| Title | Dr. med. |
| Function | Berufe, medizinische |
| Place of origin | Magdeburg (uncertain, inferred) |
| Authority | Magdeburg, Erzstift (uncertain, inferred) |
| Proceedings: | Privileg, kaiserliches, Bitte um (Druckprivileg) |