| City | Hermoupolis |
|---|---|
| Year | 1876 |
| Fullname of Deceased | Βιτσαξής Σταμάτιος |
| Father's Name of Deceased | Γεώργιος |
| Mother's Name of Deceased | Πλουμού |
| Age of Deceased | 43 |
| Disease | Κατάρρους στομάχου χρ. |
| Date of death | 1876 12 22 4μμ |
| Date Registered | 1876 12 23 |
| Origin of Deceased | Ερμ |
| Occupation of Deceased | Καζάζης [Μεταξουργός] |
| Marital Status of Deceased | Ε Παγώνα |
| Record Number | 649 |
| Comments | Μάρτυς |
| Fullname Registrar | Ψωμάς Νικόλαος |
|---|---|
| Age Registrar | 45 |
| Country Registrar | Ερμ |
| Occupation Registrar | Χρυσοχόος |
| Relation | Φίλος |