| Decedent's Given Name | Mary |
Nilson | Decedent's Surname |
| Location | Lafayette Twp |
200 | Enumeration District |
| Enumerator | Ole O. Roe |
52 | Family Number |
| Age | 35 |
F | Sex |
| Color | W |
Married | Marital Status |
| Birth Place | Denmark |
Denmark | Father's Birth Place |
| Mother's Birth Place | Denmark |
Keeping house | Occupation |
| Month of Death | May |
Epileptic fits | Cause of Death |
| How long in Story Co. | 8 |
Denmark | Where illness contracted |
| Attending Physician | B.F. Allen |
| Physician's Statement - Primary Cause |
| Physician's Statement - Immediate Cause | Exhaustion |
B.F. Allen | Physician's Signature |
| Enumerator Remarks: | |
The following is not taken from the schedule. See the introduction for an explanation of sources.
| Birth Date | abt 1844 |
May 1880 | Death Date |
| Head of Household Given Name | Nils |
Nilsen | Head of Household Surname |
| Grave Marker in Story Co.? | ? |
| Cemetery |
| Grave Marker Information: | |
| Transcriber Comments: | Nils Nilsen family 52 out of sequence on page 236a in Schedule 1. |