| City | Hermoupolis |
|---|---|
| Year | 1894 |
| Fullname of Deceased | Πανταζοπούλου Αικατερίνη |
| Father's Name of Deceased | Δημοσθένης |
| Mother's Name of Deceased | (not set) |
| Age of Deceased | 01 μ |
| Disease | Ατέλεια |
| Date of death | 1894 06 01 5πμ |
| Date Registered | 1894 06 01 |
| Origin of Deceased | Ερμ* |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Βρ.* |
| Record Number | 284 |
| Comments | (not set) |
| Fullname Registrar | Παρούσης Εμμανουήλ |
|---|---|
| Age Registrar | 23 |
| Country Registrar | Πάρος |
| Occupation Registrar | Χωροφύλαξ |
| Relation | (not set) |