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Statement of Completion Centennial MS-MSA

  • My Declaration of Intent was submitted on what date:
  • During my term the Manor held a meeting on the following date:
  • During my term the Manor held a meeting on the following date:
  • Please list them with Name and the Date initiated.
  • During my term, my Manor conducted the following activities:

  • List a description of the activities and the dates:
  • List a description of the activities and the dates:
  • List a description of the activities and the dates:
  • Please list the day(s) you celebrated the centennial and a description of what you did:
  • On my honor as a Squire I submit this Statement of Completion as being true and correct by making this as my electronic signature

  • I a manor advisor do hereby certify that all the information provided in this Statement is true and correct and that the Advisory Council of this Manor recommends that he be awarded the Centennial Past Master Squire Meritorious Service Award.