| City | Hermoupolis |
|---|---|
| Year | 1876 |
| Fullname of Deceased | Υψηλάντη Ελένη |
| Father's Name of Deceased | Μιχαήλ |
| Mother's Name of Deceased | Αργεντού Σβίρου |
| Age of Deceased | 04 μην |
| Disease | Δράκος |
| Date of death | 1876 07 20 2μμ |
| Date Registered | 1876 07 21 |
| Origin of Deceased | Ερμ |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Βρ.* |
| Record Number | 380 |
| Comments | Μάρτυς |
| Fullname Registrar | Υψηλάντης Μιχάηλ |
|---|---|
| Age Registrar | 30 |
| Country Registrar | Πειραιεύς |
| Occupation Registrar | Αρτοποιός |
| Relation | Πατήρ |