Single form sheet; 5" x 7.25; ink entries in manuscript; matted & framed. Signed by Joseph Mitchell. Paper dust screen on back of frame with "Petition . . . Received" form pasted down; manuscript entries in ink. Report of the Committee found his character, health, and habits to be "Good." Ink smudged entry of 'Cochise' on first line; spike puncture at title "Petition"; 2 vertical fold creases.

Mitchells age was 28, and his occupation was 'Miner' when George Rafferty proposed him for membership in the International Order of Oddfellows.