| Decedent's Given Name | Lauretta |
Stephenson | Decedent's Surname |
| Location | Minnesota |
221 | Enumeration District |
| Enumerator | |
| Family Number |
| Age | 2 |
F | Sex |
| Color | W |
Single | Marital Status |
| Birth Place | Iowa |
| Father's Birth Place |
| Mother's Birth Place | |
| Occupation |
| Month of Death | Aug |
Scarlet fever | Cause of Death |
| How long in Story Co. | |
| Where illness contracted |
| Attending Physician | |
| Physician's Statement - Primary Cause |
| Physician's Statement - Immediate Cause | |
| Physician's Signature |
| Enumerator Remarks: | From 1st Minnesota E.D. 221. |
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: | |