Form 5A (E-2006)
CERTIFICATE OF GOOD STANDING
, Washington Lodge No. , F & A M Date: AL AD As provided in the Washington Masonic Code, and upon receipt of a proper request, THIS IS TO CERTIFY that Brother GL NO. is a Master Mason in good and regular standing in, and free of all indebtedness to this Lodge at the date hereof, and that there are no charges on file or pending against him. Given under my hand and the seal of the said Lodge, this date and year first above written.
SEAL
Secretary NOTE: This certificate is issued as a statement of good standing of the brother named herein. It does not take the place of dimit. History: EA: FC: and MM:
OFFICE OF THE GR AND S ECRETARY
Tacoma, Washington
CERTIFICATE OF GRAND SECRETARY
Date: _____________________________ I HEREBY CERTIFY, Lodge No. , that was, on the date of the within Certificate, a regularly constituted Lodge under the jurisdiction of the MW Grand Lodge of Free and Accepted Masons of Washington. WITNESS my hand and official seal, on the above written.
(SEAL)
______________________________________________________ Grand Secretary-