| Surname | Given | Middle | Cause | Monthly Rate | Certificate No. | Original Date | Post Office | County |
| BOGAN | John | | g.s.w.l.gt.loss 1st and 2nd toes | $2.00 | 199269 | Dec. 1881 | Hancock | Houghton |
| COX | James | N. | g.s.w.r.thigh | | 89173 | | Calumet | Houghton |
| GRAY | Emma | M. | widow | $25.00 | 109839 | | Hancock | Houghton |
| JAEHING | Arno | | g.s.w.l.thigh and v.veins | $4.00 | 197022 | Oct. 1881 | Hancock | Houghton |
| POMMESICK | John | | g.s.w.pt.thigh | $2.00 | 79887 | | Calumet | Houghton |
| ROGERS | Horace | B. | g.s.w.of face | $7.00 | 152487 | Apr. 1878 | Hancock | Houghton |
| ROWLEAN | Henry | | ch.rheum. | | 155104 | Sept. 1878 | Hancock | Houghton |
| SALGAT | Havier | | g.s.w.l.side | $4.00 | 82543 | June 1867 | Hancock | Houghton |
| SCHRECK | Peter | | g.s.w.r.wrist | | 175175 | Oct. 1880 | Hancock | Houghton |