| City | Hermoupolis |
|---|---|
| Year | 1877 |
| Fullname of Deceased | Φουρνιστοπούλου Μαρούλα Ι. |
| Father's Name of Deceased | (not set) |
| Mother's Name of Deceased | (not set) |
| Age of Deceased | 76 |
| Disease | Γήρας |
| Date of death | 1877 08 29 11μμ |
| Date Registered | 1877 08 30 |
| Origin of Deceased | Ανδρος |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Ε [θ] Ιωάννης |
| Record Number | 494 |
| Comments | Μάρτυρες |
| Fullname Registrar | Φουρνιστόπουλος Λεωνίδας |
|---|---|
| Age Registrar | 32 |
| Country Registrar | Αμοργός |
| Occupation Registrar | Ράπτης |
| Relation | Υιός |