| City | Hermoupolis |
|---|---|
| Year | 1877 |
| Fullname of Deceased | Μπελαβίτα Φραγκίσκα Φρ. |
| Father's Name of Deceased | Φριδερίκος |
| Mother's Name of Deceased | Μαρία Βακοντίου |
| Age of Deceased | 03 |
| Disease | Σκαρλατίνα |
| Date of death | 1877 08 01 10πμ |
| Date Registered | 1877 08 01 |
| Origin of Deceased | Ερμ |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Βρ.* |
| Record Number | 417 |
| Comments | Μάρτυς |
| Fullname Registrar | Βακόντιος Αντώνιος |
|---|---|
| Age Registrar | 21 |
| Country Registrar | Σύρος |
| Occupation Registrar | Υπάλληλος |
| Relation | Θείος |