Front:
ORGANIZED FEB. 2, 1877.
Provident Mutual
No of Sub. Associations 102.
No. of
Death
Name
395 Charles F. Wood.
396 Seymore E. Butler.
397 Walter R. Holden.
398 W. F. Woodward.
Promptness is Safety.
DEATH
Residence
Concord, N. H., Oct. 30, 1894.
399
E. H. Kempton.
400 Charles Wright.
401 N. B. Cornell.
Notice
Received
Aug. 28, '94.
Sept. 8, '94.
Sept. 19, '94.
49
45
39
30 Sept. 20, '94.
Rec'd paym't,
Newport.
Plymouth.
Plymouth.
Time
Insured
Salmon Falls.
Hinsdale.
$360.50 Consumption.
E. Randolph, Vt.
369.25 Typhoid Dysentery.
17.00 Acute Meningitis.
Lyme.
(half rate)
17.00 Phthisis.
(half rate)
No benent will be paid when a member is under suspension when he dies. Suspended members are uninsured.
uninst
ASSESSMENTS NOS. 211 AND 212, ARE NOW DUE.
Forward to the Clerk of your Sub. Association.
8141 Blacs dam
Clerk.
32 Sept. 25, '94.
52 Sept. 28, '94.
39 Oct. 6, '94.
44552
15
525
INCORPORATED JULY 26, 1878.
Relief Association.
No. Certificates Issued. Class One, 4851.
12
15
NOTICES.
Delays are Dangerous.
ADDITIONAL DEATHS REPORTED TO DATE, OCT. 20, 1894.
$126.50 Pneumonia.
388.00 Disease of Spinal Cord.
247.00 Cerebral Hemorrhage.
Am't
Paid
Cause of Death
Due 1894
Nov. 28.
Dec. 8.
Dec. 19.
Dec. 20.
Time expires Nov. 30, 1894.
A. C. HARDY, Secretary.
Dec. 25.
Dec. 28,
Jan. 6, '95
TIME EXPIRES NOV. 30, 1894.
Back:
ORT
KEE
198!
United States Amèrica.
N.H.
S.a. Whitten
lity
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45
