| Decedent's Given Name | Roy M. |
Kistler | Decedent's Surname |
| Location | Ames |
207 | Enumeration District |
| Enumerator | E.R. Chamberlain |
124 | Family Number |
| Age | 3/12 |
M | Sex |
| Color | W |
Single | Marital Status |
| Birth Place | Iowa |
Penn | Father's Birth Place |
| Mother's Birth Place | Mass |
| Occupation |
| Month of Death | Aug |
Cholera Infantus | Cause of Death |
| How long in Story Co. | |
| Where illness contracted |
| Attending Physician | Dr. Bradley |
| Physician's Statement - Primary Cause |
| Physician's Statement - Immediate Cause | |
D.S. Fairchild | Physician's Signature |
| Enumerator Remarks: | |
The following is not taken from the schedule. See the introduction for an explanation of sources.
| Birth Date | Jun 1879 |
Aug 1879 | Death Date |
| Head of Household Given Name | Monroe H. |
Kistler | Head of Household Surname |
| Grave Marker in Story Co.? | Yes |
Ames Municipal Cemetery | Cemetery |
| Grave Marker Information: | Parents were M.H. & H.A. Kistler. |
| Transcriber Comments: | |