| Decedent's Given Name | Tennis |
Larson | Decedent's Surname |
| Location | Union Twp |
210 | Enumeration District |
| Enumerator | John C. Kinsel |
124 | Family Number |
| Age | 11 |
M | Sex |
| Color | W |
| Marital Status |
| Birth Place | Iowa |
Norway | Father's Birth Place |
| Mother's Birth Place | Norway |
| Occupation |
| Month of Death | Novm |
Remitent Fever | Cause of Death |
| How long in Story Co. | 11 |
| Where illness contracted |
| Attending Physician | J.M. Brown |
| Physician's Statement - Primary Cause |
| Physician's Statement - Immediate Cause | |
J.M. Brown | Physician's Signature |
| Enumerator Remarks: | |
The following is not taken from the schedule. See the introduction for an explanation of sources.
| Birth Date | abt 1868 |
Nov 1879 | Death Date |
| Head of Household Given Name | Jonas T. |
Larson | Head of Household Surname |
| Grave Marker in Story Co.? | No |
| Cemetery |
| Grave Marker Information: | |
| Transcriber Comments: | |