| City | Hermoupolis |
|---|---|
| Year | 1895 |
| Fullname of Deceased | Βεριβάκη Αναστασία Μ. |
| Father's Name of Deceased | (not set) |
| Mother's Name of Deceased | (not set) |
| Age of Deceased | 50 |
| Disease | Αιμορραγία εγκεφαλική |
| Date of death | 1895 10 18 1μμ |
| Date Registered | 1895 10 18 |
| Origin of Deceased | Ερμ |
| Occupation of Deceased | Οικ. |
| Marital Status of Deceased | Χ [Θ] |
| Record Number | 534 |
| Comments | (not set) |
| Fullname Registrar | Ισιδώρου Αθανάσιος |
|---|---|
| Age Registrar | 45 |
| Country Registrar | Μύκονος |
| Occupation Registrar | Ιερεύς |
| Relation | Γείτων* |