| City | Hermoupolis |
|---|---|
| Year | 1893 |
| Fullname of Deceased | Βαλσαμής Νικόλαος Νικολ. |
| Father's Name of Deceased | Νικόλαος |
| Mother's Name of Deceased | Ειρήνη Εξαρχοπούλου Νικήτ |
| Age of Deceased | 11 ημ |
| Disease | Ατέλεια |
| Date of death | 1893 02 15 9μμ |
| Date Registered | 1893 02 16 |
| Origin of Deceased | Ερμ |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Βρ.* |
| Record Number | 78 |
| Comments | (not set) |
| Fullname Registrar | Τσαγκάτος Νικόλαος |
|---|---|
| Age Registrar | 34 |
| Country Registrar | Αμοργός |
| Occupation Registrar | Μάγειρος |
| Relation | (not set) |