Psalm 88 is written in cursive letters in a block of lines at the center of the sheet. The word "A Song" (Psalm 88:1) is written separately in the upper right corner in very large block letters. The two upper lines (88: 1-2) are written in larger letters. The words "thine ear unto my cry" and "my soul is full of trouble" (88: 3-4; KJ 2-3) on line 3 are written in bolder letters אזנך לרינתי, שבעה רעות. The words "I have" and "cried" (88:13) on line 10 are also written in bold letters ואני... שועתי.