| City | Hermoupolis |
|---|---|
| Year | 1876 |
| Fullname of Deceased | Γκάφας Ραφαήλ |
| Father's Name of Deceased | Κωνσταντίνος |
| Mother's Name of Deceased | Μάρου |
| Age of Deceased | 30 |
| Disease | Νόσημα χρ. |
| Date of death | 1876 07 17 2μμ |
| Date Registered | 1876 07 18 |
| Origin of Deceased | Υδρα |
| Occupation of Deceased | Εργάτης |
| Marital Status of Deceased | Ε Μαρία |
| Record Number | 370 |
| Comments | Μάρτυς |
| Fullname Registrar | Ασωνέος Σπύρος |
|---|---|
| Age Registrar | 58 |
| Country Registrar | Πάρος |
| Occupation Registrar | Εργάτης |
| Relation | Φίλος |