| City | Hermoupolis |
|---|---|
| Year | 1876 |
| Fullname of Deceased | Λαγωνίκου Πιπίνα |
| Father's Name of Deceased | Σταύρος |
| Mother's Name of Deceased | Αγγερού |
| Age of Deceased | 25 |
| Disease | Πνευμ. φυμ. |
| Date of death | 1876 12 17 4μμ |
| Date Registered | 1876 12 18 |
| Origin of Deceased | Ερμ |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Α [θ] |
| Record Number | 640 |
| Comments | Μάρτυρες |
| Fullname Registrar | Ψωμάς Νικόλαος |
|---|---|
| Age Registrar | 45 |
| Country Registrar | Ερμ |
| Occupation Registrar | Χρυσοχόος |
| Relation | Φίλος |