| City | Hermoupolis |
|---|---|
| Year | 1876 |
| Fullname of Deceased | Καβαλιέρου Σταυρούλα |
| Father's Name of Deceased | Γεώργιος |
| Mother's Name of Deceased | Αφροδίτη Σταυρινού |
| Age of Deceased | 01 |
| Disease | Πνευμονία |
| Date of death | 1876 11 18 4μμ |
| Date Registered | 1876 11 19 |
| Origin of Deceased | Ερμ |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Βρ.* |
| Record Number | 574 |
| Comments | Μάρτυρες |
| Fullname Registrar | Καβαλιέρος Γεώργιος |
|---|---|
| Age Registrar | 60 |
| Country Registrar | Πάρος |
| Occupation Registrar | Εργάτης |
| Relation | Πατήρ |