| City | Hermoupolis |
|---|---|
| Year | 1876 |
| Fullname of Deceased | Κότη Αγγέλικα |
| Father's Name of Deceased | Δημήτριος |
| Mother's Name of Deceased | (not set) |
| Age of Deceased | 50 |
| Disease | Νόσημα χρ. |
| Date of death | 1876 08 10 6μμ |
| Date Registered | 1876 08 11 |
| Origin of Deceased | Τήνος |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Ε [Θ] |
| Record Number | 429 |
| Comments | Μάρτυς |
| Fullname Registrar | Λιράς Αριστείδης |
|---|---|
| Age Registrar | 28 |
| Country Registrar | Ανδρος |
| Occupation Registrar | Κτίστης |
| Relation | Ανιψιός |