| City | Hermoupolis |
|---|---|
| Year | 1876 |
| Fullname of Deceased | Μαύρος Δημήτριος |
| Father's Name of Deceased | Γεώργιος |
| Mother's Name of Deceased | Ειρήνη Δ. Κόλφη |
| Age of Deceased | 06 μην |
| Disease | Διάρροια |
| Date of death | 1876 08 20 3μμ |
| Date Registered | 1876 08 21 |
| Origin of Deceased | Κυδωνίαι |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Βρ.* |
| Record Number | 442 |
| Comments | Μάρτυς |
| Fullname Registrar | Μαύρος Γεώργιος Μ. |
|---|---|
| Age Registrar | 35 |
| Country Registrar | Κυδωνίαι |
| Occupation Registrar | Εργάτης |
| Relation | Πατήρ |