| City | Hermoupolis |
|---|---|
| Year | 1878 |
| Fullname of Deceased | Ζώρζου Αικατερίνη Αντ. |
| Father's Name of Deceased | (not set) |
| Mother's Name of Deceased | (not set) |
| Age of Deceased | 65 |
| Disease | Κεφαλ. Εγκεφαλ.; νόσος |
| Date of death | 1878 10 20 4μμ |
| Date Registered | 1878 10 21 |
| Origin of Deceased | Πάτμος |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Χ [θ] |
| Record Number | 480 |
| Comments | Μάρτυς |
| Fullname Registrar | Μουτάφογλους Εμμ. |
|---|---|
| Age Registrar | 55 |
| Country Registrar | Τήνος |
| Occupation Registrar | Σανδαλοποιός |
| Relation | Φίλος |