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[ No. 9-B.

FORM OF PETITION OF AN APPLICANT FOR PERMISSION TO

APPLY FOR INITIATION AND MEMBERSHIP AFTER A SECOND REJECTION.

To the Worshipful Master, Officers, and Brethren of
Lodge, No.

The undersigned respectfully represents that he has been informed that on or about the

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day of

A. D.

18 he was rejected as a petitioner for initiation into the mysteries of Freemasonry and membership in your Worshipful Lodge for the second time; that he is still desirous to be initiated into said mysteries and become a member of your Lodge; and believing that the objections which existed against him previously do not now exist, he prays that he may be permitted again to present his petition for initiation and membership, promising to cheerfully conform to all the ancient usages and customs of the Fraternity.

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To the Worshipful Master, Officers, and Brethren of

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ence to the inclosed certificate, respectfully prays that he may be admitted a member of your Worshipful Lodge.

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FORM OF A REPORT ON A PETITION FOR INITIATION AND MEMBERSHIP, OR MEMBERSHIP ONLY.

To the Worshipful Master, Officers, and Brethren of Lodge,

No.

The Committee appointed on the

inquiries relative to

to make the necessary A. B. an applicant for initiation and membership; or,

E. A.

Brother A. B., a F. C.
F. and an ap-

plicant for membership, have performed that duty, and beg leave

to report {(in favor of

against

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NOTE.-In case an applicant for initiation is physically disqualified according to the Ahiman Rezon (title Members), the report should state the fact, and said withdrawal should be forthwith reported to the Grand Secretary.

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you were elected the representative of this Lodge, in the Right Worshipful Grand Lodge of Pennsylvania.

Witness our hands, and the seal of the Lodge, this

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day

W. M.

SEC.

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[ No. 13. ]

General Return FROM

LODGE, NO. , FREE AND ACCEPTED MASONS, HELD AT WORSHIPFUL GRAND LODGE OF PENNSYLVANIA, FROM

18

to

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, Treasurer; I, Worshipful Master of Lodge, No. Free and Accepted Masons, do hereby certify to the Right Worshipful Grand Lodge of Pennsylvania, that the foregoing contains a just and true Return of the members of Lodge No., and of the Initiations, Admissions, etc., in the said Lodge, during the time abovementioned; also a just and true account of the dues owing from the said Lodge to the Right Worshipful Grand Lodge, during the same period; and I do further certify, that at an election held on the day above stated, the above-named Brethren were duly elected officers of the said Lodge for the term of twelve months succeeding the next St. John's Day. IN TESTIMONY WHEREOF, I have hereunto set my hand, and caused the seal of the said Lodge to be affixed at day of A.D. 18 , and in the year of Masonry 58

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Attest,

NOTE.-The above form is used only for the first return after the constitution of a Lodge,

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[ No. 14. ]

LODGE, NO. , FREE AND ACCEPTED MASONS, HELD AT THE GRAND LODGE OF PENNSYLVANIA, FROM THE 27TH OF DECEMBER, 18

General Return FROM

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The number of Members, according to the last Return, on the 27th of December, 18
Add those subsequently Initiated or Admitted (for names and particulars see below)...
Deduct those subsequently Resigned, Suspended, Expelled, or Deceased (for names and par-
ticulars see below)...

was........

Leaves.

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RETURN OF PARTICULARS ABOVE REFERRED TO-ALSO OF CANDIDATES REJECTED-AND OF BRETHREN PASSED AND RAISED DURING THE PERIOD HEREIN
EMBRACED, WHO HAVE BEEN HERETOFore returnED AS INITIATED AND ADMITTED.
When

NAMES.

Profession.

Age. Residence.

Admitted. Degree.

When When When Candidates reInitiated. Passed. Raised. jected, when.]

Members suspended, when.

Members ex- Members with- Members depelled, when. drawn, when. ceased, when.

In all cases where membership has ceased, give the date when the membership commenced as well as when it ceased. OFFICERS ELECTED on the

Warden;

Treasurer;

18 :

Worshipful Master; Secretary.

Senior Warden;

Junior

I, Worshipful Master of Lodge, No. Free and Accepted Masons, do hereby certify, to the Right Worshipful Grand Lodge of Free and Accepted Masons of Pennsylvania, that the foregoing contains a just and true Return of the members of Lodge No. and of the Initiations, Admissions, etc., in the said Lodge, during the time abovementioned; also, a just and true account of the Dues owing from said Lodge to the Right Worshipful Grand Lodge of Pennsylvania, during the same period; and I do further certify, that at an election held on the day above stated, the above-named Brethren were duly elected officers of the said Lodge, for the term of twelve months succeeding the next St. John's Day. IN TESTIMONY WHEREOF, I have hereunto set my hand, and caused the seal of the said Lodge to be affixed at day of

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NOTE.-It is recommended to the Lodge to preserve among its records a duplicate of every annual return, or to enter the same in their book of minutes at the end

of each year.

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