FORM 24 (E-2006) CERTIFICATE OF ENTERED APPRENTICE OR FELLOWCRAFT MASON TO ALL MASTER MASONS TO WHOM THESE PRESENTS SHALL COME, GREEETING: THIS IS TO CERTIFY Brother presently residing at in the City of State or County of is, at the date of these presents a (an) Mason on the roll of Lodge, No. F& AM having received the Entered Apprentice Degree on and the Fellowcraft Degree on . Fees for the Three Degrees of Masonry were paid in full at the time of his petition for the Degree of Masonry was received, and being free from any charges, he is herewith granted this certificate as set forth in Section1 410 of the Washington Masonic Code, for the reason that he now is permanently residing in another jurisdiction that does not sanction the conferring of Degrees by Courtesy upon such candidate, or other justifiable circumstances, dictate that the candidate petition another Lodge for the remaining degree or degrees. THEREFORE, he is dismissed from membership as a (an) Mason in Lodge No. F& AM located at under the jurisdiction of the GRAND LODGE OF WASHINGTON In testimony whereof, we have delivered him this certificate; and that he only may have the benefit thereof, we have caused him to sign his name in the margin thereof. (SEAL) Given under our hand and the seal of the Lodge, attested by our Secretary this day of AD 20 AL 20 . Worshipful Master Attest: Secretary NE VARIETUR (signature of EA or FC Brother) Address of Lodge CERTIFICATE OF GRAND SECRETARY Office of the Grand Secretary Tacoma, Washington Date: (SEAL) I hereby certify , Lodge, No. that was, on the date of the within Certificate, a regularly constituted Lodge under the jurisdiction of the MWGrand Lodge of Free and Accepted Masons of Washington. WITNESS my hand and official seal, on the date first above written. Grand Secretary - \