| City | Hermoupolis |
|---|---|
| Year | 1896 |
| Fullname of Deceased | Θεοφίλου Σταυριανή Κων. |
| Father's Name of Deceased | Κωνσταντίνος |
| Mother's Name of Deceased | Τατιανή |
| Age of Deceased | 6 μη |
| Disease | Βρογχίτις τριχοειδής |
| Date of death | 1896 07 12 11μμ |
| Date Registered | 1896 07 13 |
| Origin of Deceased | Ερμ |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Βρ.* |
| Record Number | 338 |
| Comments | (not set) |
| Fullname Registrar | Πέπας Γεώργιος |
|---|---|
| Age Registrar | 46 |
| Country Registrar | Ερμ |
| Occupation Registrar | Υπάλληλος |
| Relation | Φίλος |