Insignia of the Order of the Hospital of Saint John of Jerusalem Insignia of the Order of the Hospital of St John of Jerusalem belonging to Ephraim MacDowel Cosgrave: - enamel and silver Star of a Knight of Grace, on a pin - enamel and silver Star of a Knight of Grace, on a black ribbon - [button] with the Star of a Knight of Grace - [tie pin with the Star of a Knight of Grace] - silver Star of a Member of the order, on a black ribbon Some of the objects marked with the letters "AP". - certificate of admittance of Ephraim MacDowel Cosgrave as a Knight of Grace of the Order of the Hospital of Saint John of Jerusalem dated 1 June 1898, in original metal holder. 1898