| City | Hermoupolis |
|---|---|
| Year | 1895 |
| Fullname of Deceased | Βαλσαμάκης Νικόλαος |
| Father's Name of Deceased | Ευάγγελος |
| Mother's Name of Deceased | Χρυσάνθη Μπούμη |
| Age of Deceased | 07 μ |
| Disease | Γαστροεντερίτις |
| Date of death | 1895 08 12 9μμ |
| Date Registered | 1895 08 12 |
| Origin of Deceased | Ερμ |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Βρ.* |
| Record Number | 454 |
| Comments | (not set) |
| Fullname Registrar | Βαλσαμάκης Ευάγγελος |
|---|---|
| Age Registrar | 32 |
| Country Registrar | Κωνστ\πολις |
| Occupation Registrar | Μηχανικός |
| Relation | Πατήρ |