Prescription Form for Medicinal Liquor

5 1/2 x 4 1/2 certificate, used by doctors to prescribe liquor for patients. Not filled out, pink background and word "Duplicate" faintely printed, with 8 lines for recording patient name, address, kind of liquor, etc. Fancy border noting "Issued under Authority of the National Prohibition Act." Fine. Extra postage may be required for heavy or oversize books.