The handwriting is original and hard to read.

Longmont Congregational Nov. 14th, 1880

This is to certify that,

M. H Davis
E. Martin/Mertin (?)
F. P. Woodley
Geo M Davis
Mary A. Maxwell
L. C Mead
Geo Davis
Neamiah (?) Martin/Mertin (?)
Philo L Martin/Mertin (?)
Chas K. Davis
Elizabeth Mead
Nellie Oviatt
___ _ H Oviatt
Chas W Weston
Harriett Weston

having requested a letter of dismissal  from the 1st Cong. church  _ of this place, for the purpose of organizing a church in Highlandlake said letter is accepted by vote of the church.

E _ Holbrook, Clerk