| City | Hermoupolis |
|---|---|
| Year | 1896 |
| Fullname of Deceased | Σαλούστρος Αλέξανδρος Στ. |
| Father's Name of Deceased | Σταύρος |
| Mother's Name of Deceased | (not set) |
| Age of Deceased | 29 |
| Disease | Φυματίωσις ? |
| Date of death | 1896 10 20 4πμ |
| Date Registered | 1896 10 20 |
| Origin of Deceased | Ερμ |
| Occupation of Deceased | Ιατρός |
| Marital Status of Deceased | Α |
| Record Number | 498 |
| Comments | (not set) |
| Fullname Registrar | Νικολάου Στυλιανός |
|---|---|
| Age Registrar | 32 |
| Country Registrar | Σάμος |
| Occupation Registrar | Υπηρέτης |
| Relation | (not set) |