| Surname | Given | Middle | Cause | Monthly Rate | Certificate No. | Original Date | Post Office | County |
| BOWERS | Norwood | | g.s.w.r.thigh | $4.00 | | | Stevenson | Menominee |
| BREEN | Thos. | | wd.r.eye | $10.00 | 55561 | | Waucedah | Menominee |
| BROOKS | Chas. | L. | g.s.w.r.hand | $8.00 | | | Ingalls | Menominee |
| BROWN | Roscoe | G. | | $4.00 | 21004 | Dec. 1863 | Daggett | Menominee |
| BUNDY | Daniel | | dis.of abdominal viscera | $4.00 | 208476 | May 1882 | Menominee | Menominee |
| COLLIN | Joseph | | g.s.w.r.thigh | $2.00 | 185246 | Mar. 1881 | Stevenson | Menominee |
| COOZER | James | A. | wd.face and r.leg | $8.00 | 38952 | July ?? | Menominee | Menominee |
| DECKER | Gertrude | C. | dep.mother | $8.00 | | | Menominee | Menominee |
| DEPAS | Flosimon | | heart disease | $4.00 | 179360 | Dec. 1880 | Stevenson | Menominee |
| DOLLAR | John | | wd.spine | $18.00 | | | Quinnesec | Menominee |
| DOUSEY | Francis | | inj.l.eye and blindness of same | $4.00 | 215758 | July 1882 | Menominee | Menominee |
| FISHER | Robert | | g.s.w.r.sh'r | $8.00 | | | Vulcan | Menominee |
| HARDWICK | Lewis | W. | g.s.w.r.arm and sh'r. | $14.00 | 59156 | | Menominee | Menominee |
| JOHNVIN | Solomon | | g.s.w.r.arm | $4.00 | | | Stevenson | Menominee |
| LARARER | Peter | | loss of index finer l.hand | $6.00 | 202649 | Feb. 1882 | Iron Mountain | Menominee |
| LUCK | Wm. | | g.s.w.l.elbow | $4.00 | | | Iron Mountain | Menominee |
| MCCALVIN | Sidney | | injury to abdomen | $4.00 | 32576 | Sept. 1864 | Quinnesec | Menominee |
| MCINTYRE | Chas. | E. | | $4.00 | 84249 | | Ingalls | Menominee |
| MITTELSTAEDT | Ferdin'd | | dis.liver | $12.00 | 139751 | June 1876 | Norway | Menominee |
| NOTT | Arthur | S. | rheum.r.leg | $18.00 | 80425 | | Menominee | Menominee |
| PARETT | James | | g.s.w.both hips and l.arm | $8.00 | | | Stevenson | Menominee |
| SCHROEDER | Henry | | injury to abdomen | $8.00 | | Apr. 1881 | Menominee | Menominee |
| SINK | Henry | | g.s.w.l.arm | $8.00 | | | Spalding | Menominee |
| SMITH | Ferdinand | | injury to abdomen | $8.00 | | | Vulcan | Menominee |
| STANTON | Luke | | wd.of hand | $4.00 | 223370 | Dec. 1882 | Hermansville | Menominee |
| STONER | Philip | Q. | loss.r.arm | $24.00 | 24079 | | Menominee | Menominee |
| VINCENT | Chas. | | g.s.w.l.hip | $8.00 | | | Iron Mountain | Menominee |
| WASON | Daniel | P. | wd.r.side | $2.00 | 117747 | July 1872 | Menominee | Menominee |
| WELLS | Julia | A. S. | widow | $15.00 | 29905 | May 1864 | Menominee | Menominee |
| WEST | Salvin | C. | ch.diarr.and rheumatism | $4.00 | | | Daggett | Menominee |
| WESTFOHL | John | | | $8.00 | 111941 | July 1871 | Menominee | Menominee |
| WORTHING | Frank | | dis.stom. And bowels | $6.00 | | Oct. 1880 | Daggett | Menominee |
| ZAPPE | August | | disability | $4.00 | 75586 | Dec. 1866 | Norway | Menominee |