| Decedent's Given Name | H. Jennie |
Smay | Decedent's Surname |
| Location | Richland & Sherman Twp |
202 | Enumeration District |
| Enumerator | John B. Shaw |
?5 | Family Number |
| Age | 6 |
F | Sex |
| Color | W |
| Marital Status |
| Birth Place | Iowa |
Maryland | Father's Birth Place |
| Mother's Birth Place | Indiana |
| Occupation |
| Month of Death | June |
unknown | Cause of Death |
| How long in Story Co. | 3 |
| Where illness contracted |
| Attending Physician | no Physician |
| Physician's Statement - Primary Cause |
| Physician's Statement - Immediate Cause | |
| Physician's Signature |
| Enumerator Remarks: | The parents of this person count not say what disease but said the child was apparently well one hour before death. |
The following is not taken from the schedule. See the introduction for an explanation of sources.
| Birth Date | abt 1873 |
Jun 1879 | Death Date |
| Head of Household Given Name | |
| Head of Household Surname |
| Grave Marker in Story Co.? | No |
| Cemetery |
| Grave Marker Information: | |
| Transcriber Comments: | |