| City | Hermoupolis |
|---|---|
| Year | 1876 |
| Fullname of Deceased | Ξένου Ελένη Δημ. |
| Father's Name of Deceased | Δημήτριος |
| Mother's Name of Deceased | Ζαμπέτα |
| Age of Deceased | 02 |
| Disease | Κατάρρους; |
| Date of death | 1876 05 24 11πμ |
| Date Registered | 1876 05 24 |
| Origin of Deceased | Ερμ |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Βρ.* |
| Record Number | 264 |
| Comments | Μάρτυς |
| Fullname Registrar | Λουσίδης Γιαννούλης |
|---|---|
| Age Registrar | 50 |
| Country Registrar | Τήνος |
| Occupation Registrar | Μαραγκός |
| Relation | Φίλος |