| Role | Name | Name (original language) | Name (translation) | Floruits |
|---|---|---|---|---|
| Grantor | Nicholas de Campania (Champagne) | Nicolayus de Campania | Nicholas de Campania | 1200 × 1200 |
| Beneficiary | Mary, Blessed Virgin | sancte Marie | St Mary | 1122 × 1321 |
| Beneficiary | Dryburgh Abbey (fd.1150) | canonicis de Driburgh | canons of Dryburgh | 1150 × 1345 |
| Sicut Clause | Ralph de Campania (Champagne) | avi mei | my grandfather | 1200 × 1234 |