| Decedent's Given Name | Evaline |
Alvord | Decedent's Surname |
| Location | Ames |
207 | Enumeration District |
| Enumerator | E.R. Chamberlain |
| Family Number |
| Age | 45 |
F | Sex |
| Color | W |
Married | Marital Status |
| Birth Place | |
| Father's Birth Place |
| Mother's Birth Place | |
| Occupation |
| Month of Death | |
Heart Disease | 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 | Heart disease |
Jas Bradley | Physician's Signature |
| Enumerator Remarks: | |
The following is not taken from the schedule. See the introduction for an explanation of sources.
| Birth Date | |
| Death Date |
| Head of Household Given Name | |
| Head of Household Surname |
| Grave Marker in Story Co.? | No |
| Cemetery |
| Grave Marker Information: | |
| Transcriber Comments: | |