| Decedent's Given Name | John |
Shartle | Decedent's Surname |
| Location | Lafayette Twp |
200 | Enumeration District |
| Enumerator | Ole O. Roe |
134 | Family Number |
| Age | 72 |
M | Sex |
| Color | W |
Married | Marital Status |
| Birth Place | Ohio |
Penn | Father's Birth Place |
| Mother's Birth Place | Penn |
Photographer | Occupation |
| Month of Death | Aug |
Diabetis | Cause of Death |
| How long in Story Co. | 10 |
Indiana | Where illness contracted |
| Attending Physician | Russell |
| 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 1807 |
Aug 1879 | Death Date |
| Head of Household Given Name | Henry H. |
Shartle | Head of Household Surname |
| Grave Marker in Story Co.? | No |
| Cemetery |
| Grave Marker Information: | |
| Transcriber Comments: | |