| City | Hermoupolis |
|---|---|
| Year | 1876 |
| Fullname of Deceased | Βενετζάνου Μαριγώ Α. |
| Father's Name of Deceased | Αντώνιος |
| Mother's Name of Deceased | Στυλιανή Σταύρου |
| Age of Deceased | 03 |
| Disease | Πνευμονία |
| Date of death | 1876 10 30 3μμ |
| Date Registered | 1876 10 31 |
| Origin of Deceased | Ερμ |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Βρ.* |
| Record Number | 546 |
| Comments | Μάρτυς |
| Fullname Registrar | Βενετζάνος Αντώνιος |
|---|---|
| Age Registrar | 32 |
| Country Registrar | Αμοργός |
| Occupation Registrar | Ράπτης |
| Relation | Πατήρ |