Beskrivning: Bronsplakett med mönster i upphöjd relief. Motivet är en grip med utbredda vingar. Till vänster syns en ryttare försvinna bakom ett monument. Till hög är ett hus med rykande skorsten. På framsidan står tryckt: SÖDERMANLANDS HEMBYGDSFÖRBUND.
Plaketten förvaras i en ljusbrun pappask. Bottnen avpassad efter plaketten.
"Förbundsstyrelsen har beslutat, att i enlighet med statuterna för plaketten även låta prägla och utdela detta hederstecken i brons" /Ur Sörmlandsbygden 1947 sidan 136.
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