| City | Hermoupolis |
|---|---|
| Year | 1893 |
| Fullname of Deceased | Κουέρτση Πολυξένη Α. |
| Father's Name of Deceased | Ανδρέας |
| Mother's Name of Deceased | Δέσποινα Λέστου |
| Age of Deceased | 02 |
| Disease | Φυματίωσις |
| Date of death | 1893 12 24 10πμ |
| Date Registered | 1893 12 24 |
| Origin of Deceased | Ερμ* |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | (not set) |
| Record Number | 552 |
| Comments | (not set) |
| Fullname Registrar | Σιδηρόγλου Ηλίας |
|---|---|
| Age Registrar | 60 |
| Country Registrar | Ερμ |
| Occupation Registrar | Σχοινοποιός |
| Relation | (not set) |