Vatican, Papal State. A Pontifical Equestrian Order of Saint Sylvester, I. Class Grand Cross, c.1930 consisting of a blue enamelled Romanian Cross with clusters of nine gilt rays in eac which was later defined as

which was later defined as "Influenza"

1916 and one week later

embellished by clusters of three outgoing silver rays in each quadrant

A cased Meritorious Service Medal

the reverse of each with an institution date of “16

Vatican, Papal State. A Pontifical Equestrian Order of Saint Sylvester, I. Class Grand Cross, c.1930 consisting of a blue enamelled Romanian Cross with clusters of nine gilt rays in eac which was later defined as(Ordo Sancti Silvestri Papae Ordine di San Silvestro Papa). Instituted October 31st, 1841. A finely toned eight pointed star with five multi faceted quills per arm, obverse with a white enameled Maltese Cross with rays emanating from the center of the cross in the quadrants between the arms of the cross, with a central blue enameled medallion bearing the bust of St. Sylvester in gilt, surrounded by a broad gilt ring inscribed Sanc. Silvester. P. M in