| City | Hermoupolis |
|---|---|
| Year | 1876 |
| Fullname of Deceased | Κληματιανού Ελένη Πολυχρ. |
| Father's Name of Deceased | (not set) |
| Mother's Name of Deceased | (not set) |
| Age of Deceased | 25 |
| Disease | Λαρυγγίτις; Καρδια; |
| Date of death | 1876 07 25 4μμ |
| Date Registered | 1876 07 26 |
| Origin of Deceased | Κάσος; Κυδωνίαι; |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Ε [Θ] |
| Record Number | 393 |
| Comments | Μάρτυρες |
| Fullname Registrar | Ανδρεαδάκης Ιωάννης Γ. |
|---|---|
| Age Registrar | 32 |
| Country Registrar | Ιος |
| Occupation Registrar | Βυρσοδέψης |
| Relation | Φίλος |