| City | Hermoupolis |
|---|---|
| Year | 1893 |
| Fullname of Deceased | Πολυκανδρίτη Ευαγγελιώ Στ. |
| Father's Name of Deceased | Σταύρος |
| Mother's Name of Deceased | Σταυρούλα Γ. Πεντάρα |
| Age of Deceased | 04 |
| Disease | Λαρυγγίτις |
| Date of death | 1893 12 01 |
| Date Registered | 1893 12 01 |
| Origin of Deceased | (not set) |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | (not set) |
| Record Number | 521 |
| Comments | (not set) |
| Fullname Registrar | Πλουμιστός Γεώργιος |
|---|---|
| Age Registrar | 33 |
| Country Registrar | Μύκονος |
| Occupation Registrar | Βυρσοδέψης |
| Relation | Θείος |