This is a rubbing of the headstone of Susanna Shephard (? -1796) wife of Oliver Shephard. This headstone can be found in Rockridge Cemetery in Sharon, Massachusetts. Gravestone rubbing are now illegal, as they damage the stones.
Full Transcription
In Memory of Mrs. Susanna Shepard, wife of Mr. Oliver Shepard, who died October 1st 1796 with 3 days sickened of the peutred feaver. Etat 38. Stop here my friend as you pass by/ As you are now so once was I/ As I am now so you must be/ Prepare for death and follow me