| Decedent's Given Name | Johannes |
Dale | Decedent's Surname |
| Location | Lafayette Twp |
200 | Enumeration District |
| Enumerator | Ole O. Roe |
75 | Family Number |
| Age | 2 |
M | Sex |
| Color | W |
| Marital Status |
| Birth Place | Iowa |
Norway | Father's Birth Place |
| Mother's Birth Place | Norway |
| Occupation |
| Month of Death | Feb |
Diphtheria | Cause of Death |
| How long in Story Co. | 2 |
| Where illness contracted |
| Attending Physician | B.F. Allen |
| Physician's Statement - Primary Cause |
| Physician's Statement - Immediate Cause | Dip Croup |
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 1877 |
Feb 1880 | Death Date |
| Head of Household Given Name | Hans |
Dale | Head of Household Surname |
| Grave Marker in Story Co.? | Yes |
Fairview Cemetery | Cemetery |
| Grave Marker Information: | |
| Transcriber Comments: | Hans Dale family 75 out of sequence on page 236a in Schedule 1. |