Page 132-133
Facsimile
Transcription
Status: Complete
Year: 1904
Name of Member: First and Middle | Name of Member: Last | Notes in Member Field | Age | Name of Beneficiary: First and Middle | Name of Beneficiary: Last | Notes in Beneficiary Field | Address | Date of Application: Month | Date of Application: Day |
---|---|---|---|---|---|---|---|---|---|
Annie H. | Roberts | 34 | Geo. M. | Roberts | 404 Elbow Lane | October | 1 | ||
Mary | Tucker | 14 | Eliza | Clark | 905 Harmony Lane | October | 4 | ||
Briscoe | Smith | 41 | Ada | Jones | 850 Tyson St | October | 1 | ||
John H. | Bridge | 50 | Iona C. | Bridge | 1409 Ward St | October | 4 | ||
Margaret | Reynolds | 38 | John W. | Reynolds | 441 Henrietta St | October | 3 | ||
John H. | Powell | 37 | Cindrella | Powell | 1420 Ward St | October | 1 | ||
John A. | Stewart | 23 | Jennie | Stewart | 1071 Lexington St | October | 3 | ||
Chas. | Young | cancelled premium returned | 30 | Sadie | Young | 501 Burgundy Alley | October | 5 | |
Walter | Smith | 24 | Annie | Smith | 312 Parish Alley | October | 1 | ||
Clara | Diggs | 37 | Myrtle | Diggs | 715 Bradley St | October | 1 | ||
Louis | Davis | 27 | Daisy | Gidley | 812 Raborg St | October | 1 | ||
Ella | Williams | 49 | Mary | Kellum | 1318 Whatcoat St | October | 1 | ||
Charles | Hall | 32 | Fannie | Rogers | 526 Gold St | October | 3 | ||
George | Rone | 29 | Mary | Ward | 915 Peach Alley | October | 3 | ||
Leather | Johnson | 20 | George | Johnson | 15 1/2 Rossbach St | October | 4 | ||
Sarah | Tilliman | 19 | Mary E. | Warner | 2313 Morton St | October | 3 | ||
Harold | Parker | 10 | Bell | Parker | 518 St. Paul St | October | 3 | ||
Raymond A. | Cooper | 5 | Mary Elizabeth | Cooper | |||||
John G. | Kent | 43 | Alice | Carter | 511 Welcome Alley | October | 3 | ||
Dellia | Steward | 19 | Alice | Steward | 18 Goulds Lane | October | 3 | ||
Moses | Williams | 48 | Florence E. | Williams | 24 Goulds Lane | October | 3 | ||
Serena | Johnson | Name changed June 22 - 1917 to Serena [Edw?] | 44 | Clarence | Robinson | 624 Jasper St | October | 3 | |
Brooks | Parker | 19 | Annie | Anderson | 810 Pierce St | October | 5 | ||
John | Leonard | 21 | Jennie | Mills | 821 China St | October | 5 | ||
Wilson | Bell | 59 | Annie | Bell | 218 Dolphin St | October | 7 | ||
Georgana | Queen | 20 | Mother | 320 Hamburg St | October | 6 | |||
Hannah | Hearde | 20 | Jerry | Hearde | 6 York St | October | 6 | ||
Louis | Hill | 36 | Annie | Robinson | 320 Hamburg St | October | 7 | ||
John | Jackson | 48 | Julia | Jackson | 135 Welcome Alley | October | 6 | ||
Agnes | Kent | 20 | John | Kent | 511 Welcome Alley | October | 5 | ||
James | Spriggs | 37 | Georgana | Queen | 320 Hamburg St | October | 4 | ||
John L. | Ennis | 22 | Mary | Ennis | Ben. changed April 19 - 07 to Charles Ennis (Father). Ben. changed Dec. 22 - 1917 to Nellie Washington. Ben. changed Sept. 13, 1921 to Maggie Kellslar (Aunt). Ben. changed Feb 23 - 1928 to Chas. Washington (Brother). | 231 W. Hill St | October | 6 | |
Leven | Jolly | 28 | Roxana | Jolly | 137 W. Hill St | October | 7 | ||
Mary O. | Cambell | Name changed Nov. 13 - 1918 to Mary E. Benjamin. | 14 | Mary | Cambell | 208 N. Ann St | October | 4 | |
John R. | Cambell | 44 | Mary | Cambell | 208 N. Ann St | October | 4 | ||
Archibald | Thomas | 18 | Mary F. | Smith | 624 Sharp St | October | 7 | ||
Edward | Dorsey | 32 | Mary E. | Dorsey | 4 Church St | October | 7 |
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