| Decedent's Given Name | Henry B. |
Larsen | Decedent's Surname |
| Location | Lafayette Twp |
200 | Enumeration District |
| Enumerator | Ole O. Roe |
76 | 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 | March |
Croup | Cause of Death |
| How long in Story Co. | 2 |
| Where illness contracted |
| Attending Physician | |
| 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 | 1877 |
Mar 1880 | Death Date |
| Head of Household Given Name | Erick R. |
Larsen | Head of Household Surname |
| Grave Marker in Story Co.? | Yes |
Fairview Cemetery | Cemetery |
| Grave Marker Information: | Grave marker name is Henry Bernhard Larson. |
| Transcriber Comments: | |