This is my daughter Sheva and her husbandI believe the person who wrote this is my husband's great uncle Usher Goldstein (or Yancu or Yancovitz), brother to Morris Goldstein (1897-1965).
Her husband's name is Mordecai and
their child Tziva
(Siblings Morris, Max, and Anna immigrated to America from Romania; Usher and his brother Shmuel immigrated to Israel.)
Thank you to volunteers at the Jewish Genealogical Society of Greater Boston's "Help Day" in January 2014 for assistance in the translation.
November 17 update: And thank you to R. Shoshi Balbirer, member of Tracing the Tribe Facebook page who let me know the original image was upside down! (I have corrected it.)