Quantity: 1 available
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.
Title: Prescription Form for Medicinal Liquor
Publisher: n.p., Treasury Department: 1928
Binding: Single leaf
Item: 1.00 Item
Seller ID: 22801
Keywords: Drugs Alcoholism Substance Abuse