Supplicant: Dominicus Custodis
| Function | Handwerk, edelmetallverarbeitend (uncertain, inferred) |
| Place of origin | Augsburg (uncertain, inferred) |
| Authority | Augsburg, Reichsstadt (uncertain, inferred) |
| Proceedings: | Privileg, kaiserliches, Bitte um (Druckprivileg) |