| Decedent's Given Name | Laura M. |
unknown | Decedent's Surname |
| Location | Washington Twp |
208 | Enumeration District |
| Enumerator | Erastus D. French |
115 | Family Number |
| Age | 5 |
F | Sex |
| Color | W |
| Marital Status |
| Birth Place | Iowa |
New York | Father's Birth Place |
| Mother's Birth Place | N.Y. |
| Occupation |
| Month of Death | March |
Diptheria | Cause of Death |
| How long in Story Co. | 5 |
| Where illness contracted |
| Attending Physician | D.S. Fairchild |
| 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 1875 |
Mar 1880 | Death Date |
| Head of Household Given Name | Jury? |
Tuttle | Head of Household Surname |
| Grave Marker in Story Co.? | |
| Cemetery |
| Grave Marker Information: | |
| Transcriber Comments: | Surname unreadable. |