| City | Hermoupolis |
|---|---|
| Year | 1876 |
| Fullname of Deceased | Πουτού Ευγενεία |
| Father's Name of Deceased | Γεώργιος |
| Mother's Name of Deceased | Καλλιόπη Καράβολα |
| Age of Deceased | 08 ημ |
| Disease | Ανάπτυξις ατελής |
| Date of death | 1876 07 20 4μμ |
| Date Registered | 1876 07 23 |
| Origin of Deceased | Ερμ |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Βρ.* |
| Record Number | 383 |
| Comments | Μάρτυς |
| Fullname Registrar | Πουτούς Γεώργιος |
|---|---|
| Age Registrar | 45 |
| Country Registrar | Χίος |
| Occupation Registrar | Καφεπώλης |
| Relation | Πατήρ |