Names. Residences.
FORM OF DISMISSION FROM ONE COUNCIL TO ANOTHER.
This is to certify that Brother ——, a member of —— Council, No. ——, having made an application to change his membership from this council to that of —— Council, No. ——, at ——, in the county of ——, I do hereby declare, that said brother has received an honorable dismission from this council, and is hereby recommended for membership in —— Council, No. ——, in the county of ——, N. C.; provided, however, that until Brother —— has been admitted to membership in said council, he is to be considered subject to the discipline of this council, to be dealt with by the same for any violation of the requirements of the order. This the —— day of ——, 185—, and the —— year of American Independence.
—— President, —— Council,
No. ——.
—— Secretary.
FORM OF CERTIFICATE FOR DELEGATES TO THE STATE COUNCIL.
—— Council, No. ——,
—— county of ——, N. C.
This is to certify that —— and —— were at the regular meeting of this council, held on the ——, 185—, duly elected delegates to represent this council in the next annual meeting of the state council, to be held in ——, on the 3d Monday in November next. And by virtue of the authority in me reposed, I do hereby declare the said —— and —— to be invested with all the rights, powers, and privileges of the delegates as aforesaid. This being the —— day of ——, 185—, and the —— year of our national independence.