| Decedent's Given Name | Mrs. |
Koin | Decedent's Surname |
| Location | Milford & Grant Twp |
203 | Enumeration District |
| Enumerator | Charles W. Minkler |
P.R. | Family Number |
| Age | 21 |
F | Sex |
| Color | W |
| Marital Status |
| Birth Place | |
| Father's Birth Place |
| Mother's Birth Place | |
| Occupation |
| Month of Death | Feby |
Menstruation ? | Cause of Death |
| How long in Story Co. | |
| Where illness contracted |
| Attending Physician | James Bradley |
| Physician's Statement - Primary Cause |
| Physician's Statement - Immediate Cause | |
| Physician's Signature |
| Enumerator Remarks: | |
The following is not taken from the schedule. See the introduction for an explanation of sources.
| Birth Date | abt 1859 |
Feb 1880 | Death Date |
| Head of Household Given Name | |
| Head of Household Surname |
| Grave Marker in Story Co.? | No |
| Cemetery |
| Grave Marker Information: | |
| Transcriber Comments: | |