| City | Hermoupolis |
|---|---|
| Year | 1894 |
| Fullname of Deceased | Πούλου Αναστασία |
| Father's Name of Deceased | Ζαχαρίας |
| Mother's Name of Deceased | Ευσέβεια Μ. Ξαγοράρη |
| Age of Deceased | 02 ημ |
| Disease | Ατέλεια |
| Date of death | 1894 01 06 9μμ |
| Date Registered | 1894 01 07 |
| Origin of Deceased | Ερμ* |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Βρ.* |
| Record Number | 12 |
| Comments | (not set) |
| Fullname Registrar | Πούλος Ζαχαρίας Ανδρ. |
|---|---|
| Age Registrar | 28 |
| Country Registrar | Ερμ |
| Occupation Registrar | Κτίστης |
| Relation | Πατήρ |