| City | Hermoupolis |
|---|---|
| Year | 1876 |
| Fullname of Deceased | Βουτζάς Τριαντάφυλλος |
| Father's Name of Deceased | Γεώργιος |
| Mother's Name of Deceased | Σταυρούλα Τζιρώνη |
| Age of Deceased | 05 |
| Disease | Νόσημα οξύ |
| Date of death | 1876 12 23 4μμ |
| Date Registered | 1876 12 24 |
| Origin of Deceased | Ερμ |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | (not set) |
| Record Number | 652 |
| Comments | Μάρτυς |
| Fullname Registrar | Βουτζάς Γεώργιος |
|---|---|
| Age Registrar | 50 |
| Country Registrar | Ερμ |
| Occupation Registrar | Βυρσοδέψης |
| Relation | Πατήρ |