Song of Jacob by Jacob Bachmann (Hebrew MS 59)

Handwritten Hebrew characters (including א, ל, ש) are inscribed beneath the notes of the top stave throughout this system.

rall. slowing down

Handwritten Hebrew words are written vertically between the staves near the double bar line:

Come Lekhah
Why Lammah

Hebrew characters continue under the notes of the first and fourth staves in the final section (e.g., Al, Vo, Le).