Starfleet Silver Palm

The Starfleet Silver Palm was a medal for valor presented to deserving Starfleet personnel. The medal was awarded "with cluster" on some occasions.

Captain James T. Kirk had been awarded the Starfleet Silver Palm prior to his first meeting with Commodore Matthew Decker in 2366. (The Brave and the Bold: "The First Artifact") Presumably, this is the same award as the "Starfleet Silver Palm with cluster" which Kirk was awarded sometime before his court martial in 2267. (TOS episode: "Court Martial")

"Iron Mike" Paris also received the Silver Palm with cluster at some point during his career. (TLE novel: Serpents Among the Ruins)