| City | Hermoupolis |
|---|---|
| Year | 1876 |
| Fullname of Deceased | Κάπας Παντελής |
| Father's Name of Deceased | Αθανάσιος |
| Mother's Name of Deceased | Γαρουφαλιά Ποδάρα |
| Age of Deceased | 01 |
| Disease | Βρογχίτις |
| Date of death | 1876 06 22 2μμ |
| Date Registered | 1876 06 23 |
| Origin of Deceased | Ερμ |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Βρ.* |
| Record Number | 320 |
| Comments | Μάρτυρες |
| Fullname Registrar | Κάπας Αθανάσιος Γ. |
|---|---|
| Age Registrar | 30 |
| Country Registrar | Ερμ |
| Occupation Registrar | Ασβεστοποιός |
| Relation | Πατήρ |