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This card will remain in force until revoked or deposited (unless otherwise ordered by the Supreme Lodge),
and the holder shall be subject to all laws and regulations relating thereto, as established by the Supreme
Lodge. It can not be used as a visiting credential nor as evidence of the attainment of any honor or rank other

or other rank must be evidenced by a separate credential therefor.
 

MATHDRAWAL-CARDA? @- Stescaup of matter

ISSUED TO THE LODGE ISSUING THIS CARD MUST FILL
OUT THE FOLLOWING BLANKS

 

 

On the back of all cards, or dismissal certificates, to be
deposited for the purpose of affiliation, there shall be pro-
vided a blank in which the lodge of issue shall insert the
name, number and location of the subordinate lodge in
which the member designated in the card received the rank
of. knight, giving the dates upon which the ranks of page,

esquire and knight were confirmed. Supreme Statute,
277a.

GRAND DOMAIN

Ze eS ‘ (Name of Member.)
; RECEIVED THE RANK OF KNIGHT IN

Ce Oe RS en enn ee een ee en een ne ,

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DEPOSITED IN

Located at

Grand Dominion of ...

 

 

RANKS WERE CONFIRMED UPON HIM ON
THE DATES NAMED BELOW:

Rank of Page ........

 

 

 

Rank of Esquire

7

Rank of Knight...0 Sage