Most Worshipful Prince Hall Grand Lodge F. & A. M.

Kansas and Its Jurisdiction Inc.

P.O. Box 922, Leavenworth, Ks 66048-0922

DISPENSATION FORM

To the Worshipful Master, Wardens and Brethren of

BY VIRTURE OF THE POWER INHERENT IN ME AS THE M∴W∴ GRAND MASTER OF THE M.W. PRINCE HALL GRAND LODGE OF KANSAS AND ITS JURISDICTION, FREE & ACCEPTED MASONS, AND BELIEVING THE REASON FOR YOUR REQUEST ARE SUFFICIENT AND VALID, YOUR REQUEST IS HEREWITH GRANTED TO WIT:

Initiate Hold Special Meeting Host District Meeting

Pass Church Visit (With Regalia) Dispense with Meeting

Raise Change Meeting due to Holiday Wear Regalia for Parade

Out of Time Hold Election Out of Time Extended Time Quarters

Out of Place Install Officers Out of Time Other

DONE THIS _ _ DAY OF ______, 2015

AND THE PRIVATE SEAL OF THE GRAND MASTER HERETO ATTACHED.

M∴W∴ Grand Master

Nathaniel W. McLaughlin 33º