| City | Hermoupolis |
|---|---|
| Year | 1876 |
| Fullname of Deceased | Τόμαη Αννέτα |
| Father's Name of Deceased | (not set) |
| Mother's Name of Deceased | (not set) |
| Age of Deceased | 56 |
| Disease | Νόσημα θωρακικόν χρ. |
| Date of death | 1876 08 07 8μμ |
| Date Registered | 1876 08 08 |
| Origin of Deceased | Σύρος |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Χ [Θ] |
| Record Number | 410 |
| Comments | Μάρτυρες |
| Fullname Registrar | Πρίντεζης Σεβαστιανός |
|---|---|
| Age Registrar | 26 |
| Country Registrar | Σύρος |
| Occupation Registrar | Σανδαλοποιός |
| Relation | Φίλος |