| City | Hermoupolis |
|---|---|
| Year | 1876 |
| Fullname of Deceased | Χρυσοχόου Ευαγγελίτσα |
| Father's Name of Deceased | Γεώργιος |
| Mother's Name of Deceased | Αμαλία Ανδρ. Σάββα |
| Age of Deceased | 05 μην |
| Disease | Οδοντοφυϊα |
| Date of death | 1876 07 24 10μμ |
| Date Registered | 1876 07 25 |
| Origin of Deceased | [Ερμ] |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Βρ.* |
| Record Number | 390 |
| Comments | Μάρτυς |
| Fullname Registrar | Χρυσοχόος Γεώργιος Διον. |
|---|---|
| Age Registrar | 34 |
| Country Registrar | Ερμ |
| Occupation Registrar | (not set) |
| Relation | Πατήρ |