| City | Hermoupolis |
|---|---|
| Year | 1877 |
| Fullname of Deceased | Λαγουρά Καλλιόπη Μιχ. |
| Father's Name of Deceased | Μιχαήλ |
| Mother's Name of Deceased | Μαργαρώ Μπον |
| Age of Deceased | 01 |
| Disease | Πνευμονία; |
| Date of death | 1877 05 10 4μμ |
| Date Registered | 1877 05 11 |
| Origin of Deceased | Ερμ |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Βρ.* |
| Record Number | 217 |
| Comments | Μάρτυρες |
| Fullname Registrar | Λαγουρούς [Λαγουράς[ Μιχ. |
|---|---|
| Age Registrar | 35 |
| Country Registrar | Χίος |
| Occupation Registrar | Βυρσοδέψης |
| Relation | Πατήρ |