| City | Hermoupolis |
|---|---|
| Year | 1876 |
| Fullname of Deceased | Πολυχρονόπουλος Μιχαήλ |
| Father's Name of Deceased | (not set) |
| Mother's Name of Deceased | (not set) |
| Age of Deceased | 40 |
| Disease | Νόσος χρ. |
| Date of death | 1876 08 17 6μμ |
| Date Registered | 1876 08 18 |
| Origin of Deceased | Ανδρίτσενα |
| Occupation of Deceased | Εμποροϋπάλληλος |
| Marital Status of Deceased | Α |
| Record Number | 440 |
| Comments | Μάρτυρες |
| Fullname Registrar | Πατρινός Παντελής |
|---|---|
| Age Registrar | 65 |
| Country Registrar | Χίος |
| Occupation Registrar | Κλητήρ |
| Relation | Φίλος |