| City | Hermoupolis |
|---|---|
| Year | 1877 |
| Fullname of Deceased | Ράλλης Αμβρόσιος |
| Father's Name of Deceased | (not set) |
| Mother's Name of Deceased | (not set) |
| Age of Deceased | 68 |
| Disease | Νόσος χρ. |
| Date of death | 1877 01 10 4μμ |
| Date Registered | 1877 01 11 |
| Origin of Deceased | Χίος |
| Occupation of Deceased | Εμπορος |
| Marital Status of Deceased | Ε |
| Record Number | 18 |
| Comments | Μάρτυς |
| Fullname Registrar | Γάβρος Παναγιώτης |
|---|---|
| Age Registrar | 29 |
| Country Registrar | Βέρβενα |
| Occupation Registrar | Καφεπώλης |
| Relation | Φίλος |