Front:
ORGANIZED FEB. 2, 1877.
INCORPORATED JULY 26, 1878.
Provident Mutual
Refief Association,
No. of Sub. Associations 100.
No. Certificates Issued, Class One, 4785.
DEATH
NOTICES.
No. of
Death
Notice
Received
Time
Insured
Am't
Paid
Name
Residence
Cause of Death
Due 1894
371
372
373
374
Leroy S. Davis.
Chas. S. Symonds.
Rosanna McGill.
Joseph C. Story.
Canaan.,
Charlestown.
Lawrence, Ms. 28
Plymouth.
|$240 00
112 70
95 70
139 65
May 4.
May 8.
May 14.
May 14.
Feb. 4, '94.
34
38
Per. Remittant Fever.
Phthisis.
Puerperal Fever.
13
Feb. 8, '94.
Feb. 14, '94.
31
Feb. 14, '94.
Exhaustion.
No benefit will be paid when a member is under suspension when he dies. Suspended members are uninsured.
ASSESSMENTS NOS. 199 ANO 200, $. ., ARE NOW DUE.
Forward to the Clerk of your Sub. Association.
aw
Rec'd paym't,
Clerk.
Concord, N. H., Mar. 30, 1894.
Promptness is Safety.
Time expires Apr. 30, 1894.
Delays are Dangerous.
A. C. HARDY, Secretary,
ADDITIONAL DEATHS REPORTED TO DATE,
1894.
375
376
377
378
379
380
Lizzie F. Atwood.
Joseph G. Briggs.
Thomas Gilson.
A. B. Jenness.
F. M. Upton, M. D. Suncook.
J. W.. Wingate.
Lisbon.
Charlestown.
Lawrence, Mass. 52
Hampton.
May 15.
May 20.
June 8.
June 14.
June 15.
June 16.
Feb. 15, '94.
50
44
Peritonitis.
Sclerosis of Spinal Cord.
Diabetes.
266 50
380 00
204 00
150 00
126 50
289 50
11
13
Feb. 20, '94.
Mar. 8, '94.
29
Mar. 14, '94.
34
Appendicitis.
Bright's Disease.
Tumor of Kidney.
16
Mar. 15, '94.
41
Portsmouth.
Mar. 16, '94.
13
TIME EXPIRES APR. 30, 1894.
49
* Age
Back:
POSTAL CARD
AMERICA
United States Amore
MMTELO
**894
NH
Thomas N. While
Harrisville
