| City | Hermoupolis |
|---|---|
| Year | 1894 |
| Fullname of Deceased | Ρούσσου Καλλιόπη Αντ. |
| Father's Name of Deceased | Αντώνιος |
| Mother's Name of Deceased | Φλουρή Γεωργίου |
| Age of Deceased | 02 |
| Disease | Νεφρίτις |
| Date of death | 1894 10 13 5μμ |
| Date Registered | 1894 10 14 |
| Origin of Deceased | Ερμ |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Βρέφος |
| Record Number | 448 |
| Comments | (not set) |
| Fullname Registrar | Βάκας Γεώργιος |
|---|---|
| Age Registrar | 70 |
| Country Registrar | Ερμ |
| Occupation Registrar | Υπάλληλος |
| Relation | (not set) |