| City | Hermoupolis |
|---|---|
| Year | 1895 |
| Fullname of Deceased | Χαρβαλιά Ελένη |
| Father's Name of Deceased | Σταμάτιος |
| Mother's Name of Deceased | Αγγελική Καναρίου |
| Age of Deceased | 09 |
| Disease | Εγκεφαλίτις οξεία |
| Date of death | 1895 01 22 5πμ |
| Date Registered | 1895 01 22 |
| Origin of Deceased | Ερμ |
| Occupation of Deceased | Μαθήτρια |
| Marital Status of Deceased | Α [Θ] |
| Record Number | 35 |
| Comments | (not set) |
| Fullname Registrar | Χαρβαλιάς Σταμάτιος |
|---|---|
| Age Registrar | 50 |
| Country Registrar | Χίος |
| Occupation Registrar | Κηπουρός |
| Relation | Πατήρ |