| City | Hermoupolis |
|---|---|
| Year | 1876 |
| Fullname of Deceased | Φώτης Νικόλαος |
| Father's Name of Deceased | Δημήτριος |
| Mother's Name of Deceased | Αικατερίνη Καρβούνη |
| Age of Deceased | 02 |
| Disease | Δράκος; |
| Date of death | 1876 11 15 2μμ |
| Date Registered | 1876 11 16 |
| Origin of Deceased | Ερμ |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Βρ.* |
| Record Number | 568 |
| Comments | Μάρτυρες |
| Fullname Registrar | Φώτης Δημήτριος |
|---|---|
| Age Registrar | 30 |
| Country Registrar | Μύκονος |
| Occupation Registrar | Αχθοφόρος |
| Relation | Πατήρ |