| City | Hermoupolis |
|---|---|
| Year | 1895 |
| Fullname of Deceased | Αγα Ελένη Σταμ. |
| Father's Name of Deceased | Σταμάτιος |
| Mother's Name of Deceased | Ευαγγελιώ Β. Σαρρή |
| Age of Deceased | 18 μ |
| Disease | Βρογχίτις |
| Date of death | 1895 01 12 10μμ |
| Date Registered | 1895 01 13 |
| Origin of Deceased | Ερμ |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Βρ. |
| Record Number | 18 |
| Comments | (not set) |
| Fullname Registrar | Αρμπελιάς Ιάκωβος |
|---|---|
| Age Registrar | 27 |
| Country Registrar | Ερμ |
| Occupation Registrar | Μαραγκός |
| Relation | Θείος |