| City | Hermoupolis |
|---|---|
| Year | 1876 |
| Fullname of Deceased | Σαμοθράκη Μαρία |
| Father's Name of Deceased | Γιαννούλης |
| Mother's Name of Deceased | Ελένη |
| Age of Deceased | 75 |
| Disease | Διάρροια |
| Date of death | 1876 09 02 11μμ |
| Date Registered | 1876 09 03 |
| Origin of Deceased | Τήνος |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Ε [Θ] |
| Record Number | 461 |
| Comments | Μάρτυς |
| Fullname Registrar | Σαμοθράκης Νικόλαος |
|---|---|
| Age Registrar | 48 |
| Country Registrar | Τήνος |
| Occupation Registrar | Διδάσκαλος δήμου |
| Relation | Υιός |