# He spread it out
The word "He" refers to the "one who looked like a man" (Ezekiel 1:26).
# it had been written on both its front and back
"someone had written on both its front and its back"
# written on it were lamentations, mourning, and woe
"someone had written on it that these people would lament, be sad the way they would be if someone they loved had died, and have bad things happen to them"