M. A. B. is years of age ; his residence is ; his occu-

pation is . The case is one of emergency, for the reasons
following : [Here state at length tJte reasons why a dispensation sliould be granted in the case],
O. P., W. Master.
APPLICATION FOR A DIMIT.
, A. D. 18 , A. L. 58-
To the Worshipful Master, Wardens, and Brethren of Lodge,
No. .
The undersigned, a Master Mason, and member in good stand- ing in your Lodge, respectfully asks to withdraw from mem- bership, and that a dimit be issued to him certifying such fact, (Signed) A. B.
As every Mason (unless prevented by circumstances) should be affiliated with some Lodge, whereby he may contribute to the support of its fundsfor relief, reasons ought to be set forth in the Dimit stating why application is made therefor.
APPLICATION FOR A DIPLOMA
May be made verbally by the applicant in person, or through any brother.
FORMS FOR MASONIC DOCUMENTS. 201
FORM OF A DIMIT.
Hall of Lodge, No. , held at f by au- thority of the Grand Lodge of . I hereby certify thai
at a meeting of Lodge, No. — , held on the
day of , A.D. 18 , A. L. 58 — , Bro. ,
by consent of said Lodge, withdrew his membership from the same, he being at the time a worthy Master Mason, [here state Masonic official rank, P. M., P. S. W., etc., as the case may be], in good standing, and having paid all dues assessed against him.
By order of said Lodge.
-, Sec'y. SEAL
FORM OF PROXY REPRESENTATIVE.
To the Most Worshipful Grand Master, Wardens, and Brethren of the Grand Lodge of Ancient and Accepted York Masons, of the State of — .
In consequence of the legal representative of Lodge,
No. , held at , in the State of , being
unable to attend the Grand Lodge, at its ensuing Grand Com- munication, Bro. was, therefore, at the (stated or special)
meeting of said Lodge, held on the day of , A. D.
18 , A. L. 58 , duly appointed and constituted as the
representative of the said Lodge.
Reposing full confidence in his integrity, skill, and ability to represent the same, I have therefore caused the Secretary to affix the seal of the Lodge hereto.
, W. M.
SE Ali ^ , Secretary.
202 UNIVERSAL MONITOR.
FORM OF KEEPING RECORDS OF A LODGE.
A stated communication of Lodge, No. — , waa
holden at ,on , the day of
, A. D. 18 , A. L. 58 .
Present : Bro. A. B.., W. Master ; Bro. B. C., S. Warden ; Bro. C, D., J. Warden ; Bro. D. E., Treasurer; Bro. E. F., Secretary ; Bro
F. G., S. Deacon ; Bro. G. I., J. Deacon ; Bro. H. L., Tyler. Members— Bros. L. M., M. N., N. O., O. P.
Visitors— Bros. P. Q,., Q. R., R. S.
A Lodge of Master Masons was opened in due form.
The minutes of the last stated, and intervening special com- munications, were read and approved.
The committee on the petition of Mr. C. B., a candidate for initiation, reported favorably.
The committee on the petition of Mr. D. C, a candidate for initiation, reported unfavorably.
The petition of Mr. E. F., a candidate for initiation, was with- drawn.
A petition for initiation from Mr. G. F., inclosing the sum of
dollars, and recommended by Bros. C. D. and H. L., received
and referred to a committee of investigation consisting of Bros.
G. H., L. M., and O. P.
A petition of Bro. R. S., for membership, accompanied with the sum of — dollars, received and referred to a committee of investigation, consisting of Bros. T. W., M. L., and E. D., to report at the next stated meeting.
A balloting was had for the initiation of Mr. C. B., which was found clear, and he declared duly elected.
A ballot was also had upon the petition for initiation of Mr.