| City | Hermoupolis |
|---|---|
| Year | 1876 |
| Fullname of Deceased | Κοντιζά Ειρήνη |
| Father's Name of Deceased | Γεώργιος |
| Mother's Name of Deceased | Σοφία |
| Age of Deceased | 07 μην |
| Disease | Διάρροια |
| Date of death | 1876 08 12 5μμ |
| Date Registered | 1876 08 13 |
| Origin of Deceased | Αμοργός |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Βρ.* |
| Record Number | 430 |
| Comments | Μάρτυρες |
| Fullname Registrar | Καλαμαράς Ιερώνυμος |
|---|---|
| Age Registrar | 50 |
| Country Registrar | Μύκονος |
| Occupation Registrar | Γεωργός |
| Relation | Συγγενής |