| City | Hermoupolis |
|---|---|
| Year | 1877 |
| Fullname of Deceased | Ιουστινιανός Αντώνιος |
| Father's Name of Deceased | (not set) |
| Mother's Name of Deceased | Μαρία |
| Age of Deceased | 45 |
| Disease | Νόσος χρ. |
| Date of death | 1877 03 16 11μμ |
| Date Registered | 1877 03 17 |
| Origin of Deceased | Σύρος |
| Occupation of Deceased | Κτηματίας |
| Marital Status of Deceased | Α |
| Record Number | 128 |
| Comments | Μάρτυς |
| Fullname Registrar | Φελουτζής Ηλίας |
|---|---|
| Age Registrar | 50 |
| Country Registrar | Κρήτη |
| Occupation Registrar | Κλητήρ |
| Relation | Φίλος |