| Obverse description | Shield inscribed with arms of the Grand Master. |
| Obverse script | Latin |
| Obverse lettering | +F.ANTONIVS DE PAVLA M.M (Translation: Brother Antoine de Paule, Grand Master) |
| Reverse description | Plain cross of the order, date in angles. |
| Reverse script | Latin |
| Reverse lettering | +HOSPITAL HIERVSALEM (Translation: Hospitaller [of the Order of Saint John of] Jerusalem) |
| Edge | Plain |
| Mint | |
| Mintage | 1626 - - 1628 - - 1629 - - |
| Catalog ID | 6923161150 |
| Comments |