Complex sentence: The Medal of Merit is a Maltese medal established by the Confederation of (Maltese) Civic Councils, and handed out in the years 1968-1971,not be confused with the Malta National Order of Merit as established by an Act of Parliament (see below).
Split into simpler sentences: The Medal of Merit is a Maltese medal established by the Confederation of (Maltese) Civic Councils, and handed out in the years 1968-1971. This award must not be confused with the Malta National Order of Merit as established by an Act of Parliament (see below).