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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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