| City | Hermoupolis |
|---|---|
| Year | 1878 |
| Fullname of Deceased | Πατούνα Τριανταφυλιά Λεων. |
| Father's Name of Deceased | (not set) |
| Mother's Name of Deceased | (not set) |
| Age of Deceased | 45 |
| Disease | Νόσος χρ. |
| Date of death | 1878 06 11 6πμ |
| Date Registered | 1878 06 12 |
| Origin of Deceased | Χίος |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | [θ] ; |
| Record Number | 270 |
| Comments | Μάρτυς |
| Fullname Registrar | Μουτάφογλους Εμμανουήλ |
|---|---|
| Age Registrar | 45 |
| Country Registrar | Τήνος |
| Occupation Registrar | Νεωκόρος |
| Relation | Φίλος |