| Decedent's Given Name | Johny |
Jones | Decedent's Surname |
| Location | Collins Twp |
212 | Enumeration District |
| Enumerator | William V. Dawes |
102 | Family Number |
| Age | 11/12 |
F | Sex |
| Color | W |
Single | Marital Status |
| Birth Place | Iowa |
Ohio | Father's Birth Place |
| Mother's Birth Place | Wisconson |
| Occupation |
| Month of Death | Feb. |
Membraneous Croup | Cause of Death |
| How long in Story Co. | 11/12 |
| Where illness contracted |
| Attending Physician | Milton Richie |
| 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 | Mar 1879 |
Feb 1880 | Death Date |
| Head of Household Given Name | Jacob E. |
Jones | Head of Household Surname |
| Grave Marker in Story Co.? | No |
| Cemetery |
| Grave Marker Information: | |
| Transcriber Comments: | |