| City | Hermoupolis |
|---|---|
| Year | 1876 |
| Fullname of Deceased | Σκλαβέλης Βασίλειος |
| Father's Name of Deceased | (not set) |
| Mother's Name of Deceased | (not set) |
| Age of Deceased | 40 |
| Disease | Φθίσις πνευμονική |
| Date of death | 1876 05 20 |
| Date Registered | 1876 05 21 |
| Origin of Deceased | Κυδωνίαι |
| Occupation of Deceased | Μάγειρος |
| Marital Status of Deceased | [Ε;] Πάτρα Γαζέλη |
| Record Number | 259 |
| Comments | Μάρτυς |
| Fullname Registrar | Τακτά Μαρία Ιω. |
|---|---|
| Age Registrar | 60 |
| Country Registrar | Λέρος |
| Occupation Registrar | Οικιακά |
| Relation | Φίλη |