| City | Hermoupolis |
|---|---|
| Year | 1896 |
| Fullname of Deceased | Λάσκαρη Σταυρούλα Κ. |
| Father's Name of Deceased | Κωνσταντίνος |
| Mother's Name of Deceased | Δέσποινα Βελώνη |
| Age of Deceased | 20 |
| Disease | Φυματίωσις πνευμόνων |
| Date of death | 1896 05 16 8μμ |
| Date Registered | 1896 05 17 |
| Origin of Deceased | Σύρος |
| Occupation of Deceased | Οικιακά |
| Marital Status of Deceased | Α [θ] |
| Record Number | 243 |
| Comments | (not set) |
| Fullname Registrar | Ιωάννου Χαράλαμπος |
|---|---|
| Age Registrar | 47 |
| Country Registrar | Ερμ |
| Occupation Registrar | Βυρσοδέψης |
| Relation | (not set) |