| City | Hermoupolis |
|---|---|
| Year | 1893 |
| Fullname of Deceased | Δρίβας Ιωάννης Χαρ. |
| Father's Name of Deceased | Χαράλαμπος |
| Mother's Name of Deceased | Μαριγώ Σάντου |
| Age of Deceased | 05 |
| Disease | Διφθερίτις |
| Date of death | 1893 12 14 5μμ |
| Date Registered | 1893 12 15 |
| Origin of Deceased | Ερμ |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | (not set) |
| Record Number | 537 |
| Comments | (not set) |
| Fullname Registrar | Κούτσης Παύλος |
|---|---|
| Age Registrar | 33 |
| Country Registrar | Ερμ |
| Occupation Registrar | Αργυραμοιβός |
| Relation | Θείος |