| City | Hermoupolis |
|---|---|
| Year | 1895 |
| Fullname of Deceased | Ανεξάρτητος Παντελής Γ. |
| Father's Name of Deceased | Γεώργιος |
| Mother's Name of Deceased | Ελίζα Δημακοπούλου |
| Age of Deceased | 02 μ |
| Disease | Βρογχίτις |
| Date of death | 1895 05 12 6πμ |
| Date Registered | 1895 05 12 |
| Origin of Deceased | Ερμ* |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Βρ.* |
| Record Number | 295 |
| Comments | (not set) |
| Fullname Registrar | Κουντούρης Ανδρέας |
|---|---|
| Age Registrar | 32 |
| Country Registrar | Ερμ |
| Occupation Registrar | Πιλοπώλης |
| Relation | (not set) |