| City | Hermoupolis |
|---|---|
| Year | 1877 |
| Fullname of Deceased | Αμαντάκη Αθηνά Ν. |
| Father's Name of Deceased | (not set) |
| Mother's Name of Deceased | Χατζίδενα |
| Age of Deceased | 20 |
| Disease | Περιπνευμονία |
| Date of death | 1877 08 05 5μμ |
| Date Registered | 1877 08 06 |
| Origin of Deceased | Χίος |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | [Ε;] [θ] Δημήτριος; |
| Record Number | 425 |
| Comments | Μάρτυς |
| Fullname Registrar | Μιμίδης Τριαντάφυλλος |
|---|---|
| Age Registrar | 42 |
| Country Registrar | Ερμ |
| Occupation Registrar | Κλητήρ |
| Relation | Φίλος |