| City | Hermoupolis |
|---|---|
| Year | 1893 |
| Fullname of Deceased | Γκούμα Μαριάνθη |
| Father's Name of Deceased | Γεώργιος |
| Mother's Name of Deceased | Αφροδίτη Μαρκάκη |
| Age of Deceased | 01 έ 06 μ |
| Disease | Βρογχίτις |
| Date of death | 1893 01 23 2μμ |
| Date Registered | 1893 01 23 |
| Origin of Deceased | (not set) |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Βρ.* |
| Record Number | 40 |
| Comments | (not set) |
| Fullname Registrar | Γκούμας Γεώργιος |
|---|---|
| Age Registrar | 36 |
| Country Registrar | Κύθνος |
| Occupation Registrar | Εργάτης |
| Relation | Πατήρ |