The other two items here are two long strands of beads. These may have been used as hat bands but I am not sure. One has geometric patterns that are identical on both sides with a bird design in the center. The other one has a repeated design with two birds and two arrows. The item in the center appears to be a tepee. Each of these appear to have two beads missing. The first one has them broken out of the center and the other one has two missing from the side. Someone had tied it where they came off so as not to lose more. To judge the sizes the medallion measures 3" tall.