| City | Hermoupolis |
|---|---|
| Year | 1877 |
| Fullname of Deceased | Πέπα Ειρήνη Σταμ. |
| Father's Name of Deceased | (not set) |
| Mother's Name of Deceased | (not set) |
| Age of Deceased | 30 |
| Disease | Νόσημα οξ. |
| Date of death | 1877 11 15 3μμ |
| Date Registered | 1877 11 16 |
| Origin of Deceased | Ερμ |
| Occupation of Deceased | (not set) |
| Marital Status of Deceased | Ε [θ] Σταμάτιος Πέπας |
| Record Number | 643 |
| Comments | Μάρτυρες |
| Fullname Registrar | Μουτάφογλους Εμμανουήλ |
|---|---|
| Age Registrar | 50 |
| Country Registrar | Τήνος |
| Occupation Registrar | Υπάλληλος |
| Relation | Φίλος |