| City | Hermoupolis |
|---|---|
| Year | 1876 |
| Fullname of Deceased | Σαμπάνης Γεώργιος |
| Father's Name of Deceased | Ρήγας |
| Mother's Name of Deceased | Αικατερίνη Πολίτου |
| Age of Deceased | 09 μην |
| Disease | Διάρροια; Δράκος; |
| Date of death | 1876 05 10 4μμ |
| Date Registered | 1876 05 11 |
| Origin of Deceased | Ερμ |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Βρ.* |
| Record Number | 242 |
| Comments | Μάρτυς |
| Fullname Registrar | Σαμπάνης Ρήγας |
|---|---|
| Age Registrar | 45 |
| Country Registrar | Ερμ |
| Occupation Registrar | Σανδαλοποιός |
| Relation | Πατήρ |