| Decedent's Given Name | Hosiah |
Alversen | Decedent's Surname |
| Location | Indian Creek Twp |
211 | Enumeration District |
| Enumerator | Curt A. Wood |
100 | Family Number |
| Age | 80 |
M | Sex |
| Color | W |
| Marital Status |
| Birth Place | Vermont |
Vermont | Father's Birth Place |
| Mother's Birth Place | Vt. |
Farmer | Occupation |
| Month of Death | March |
Old Age | Cause of Death |
| How long in Story Co. | 18 |
| Where illness contracted |
| Attending Physician | Dr. Johnson |
| 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 1800 |
Mar 1880 | Death Date |
| Head of Household Given Name | S.J. |
McCown | Head of Household Surname |
| Grave Marker in Story Co.? | No |
| Cemetery |
| Grave Marker Information: | |
| Transcriber Comments: | |