| City | Hermoupolis |
|---|---|
| Year | 1876 |
| Fullname of Deceased | Σταϊς [Σταής] Ελευθέριος |
| Father's Name of Deceased | Φραντζέσκος |
| Mother's Name of Deceased | Αννα λεονάρδου |
| Age of Deceased | 04 μην |
| Disease | Εντερίτις |
| Date of death | 1876 06 01 3μμ |
| Date Registered | 1876 06 02 |
| Origin of Deceased | Ερμ |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Βρ.* |
| Record Number | 276 |
| Comments | Μάρτυρες |
| Fullname Registrar | Σταϊς [Σταής] Φραντζέσκος |
|---|---|
| Age Registrar | 24 |
| Country Registrar | Μύκονος |
| Occupation Registrar | Εργάτης |
| Relation | Πατήρ |