| City | Hermoupolis |
|---|---|
| Year | 1895 |
| Fullname of Deceased | Μπουρνάζου Σταματώ |
| Father's Name of Deceased | Νικόλαος |
| Mother's Name of Deceased | Γαρουφαλια |
| Age of Deceased | 02 |
| Disease | Βρογχίτις |
| Date of death | 1895 12 30 10μμ |
| Date Registered | 1895 12 31 |
| Origin of Deceased | Ερμ* |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Βρ* |
| Record Number | 656 |
| Comments | (not set) |
| Fullname Registrar | Μπουρνάζος Νικόλαος |
|---|---|
| Age Registrar | 45 |
| Country Registrar | Αϊβαλί |
| Occupation Registrar | Βυρσοδέψης |
| Relation | Πατήρ |