DIMIT.
To all Members of the Order of the Eastern Star:
This Dimit witnesseth,
That ..............., whose name appears in the margin of this instrument, was received into .......... Chapter, No. ......, of ......... ........ 18... And that having paid all Dues, and being free from all charges, .. he is at .... own request lawfully dismissed from Membership therein.
Given under my hand and the Seal of the Chapter, this ...... day of ........., ...
.................... Secret y.
Transcriber's Notes:
Missing or obscured punctuation was silently corrected.
Typographical errors were silently corrected.
Inconsistent spelling and hyphenation were made consistent only when a predominant form was found in this book.