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Series 1914 IRS TREASURY Department ORDER Form for HEROIN DIACETYL & Morphine !!
Series 1914 IRS TREASURY Department ORDER Form for HEROIN DIACETYL & Morphine !!
Series 1914 IRS TREASURY Department ORDER Form for HEROIN DIACETYL & Morphine !!
Series 1914 IRS TREASURY Department ORDER Form for HEROIN DIACETYL & Morphine !!
Series 1914 IRS TREASURY Department ORDER Form for HEROIN DIACETYL & Morphine !!
Series 1914 IRS TREASURY Department ORDER Form for HEROIN DIACETYL & Morphine !!
Series 1914 IRS TREASURY Department ORDER Form for HEROIN DIACETYL & Morphine !!
Series 1914 IRS TREASURY Department ORDER Form for HEROIN DIACETYL & Morphine !!

Series 1914 IRS TREASURY Department ORDER Form for HEROIN DIACETYL & Morphine !!

$ 18.48

Availability: 100 in stock
  • Color: White
  • Condition: In good general used condition, a few light bends, otherwise, condition is excellent - see photos provided - THANKS !!!
  • Return shipping will be paid by: Seller
  • All returns accepted: Returns Accepted
  • unusual specifics: Both Diacetylmorphine Hydrochloride & Heroin
  • Item must be returned within: 30 Days
  • Time Period Manufactured: Pre-1930
  • Refund will be given as: Money Back
  • Restocking Fee: No
  • Maker: unknown

    Description

    This order form is in the normal size format, measures about 9 inches by 6-1/2 inches.
    Series 1914 IRS TREASURY Department ORDER Form for HEROIN DIACETYL & Morphine !!
    Note the unusual crossing out of the line
    Morphine Diacetyl Hydrochloride
    and
    HEROIN
    has been written down in its place below - Diacetylmorphine  Hydrochloride was the early chemical name for HEROIN - we have a very COOL piece here !!!
    From the RED CROSS DRUG COMPANY in Centerville, Iowa.
    Great original 1914 Treasury Department issued order form for Opium or Coca Leaves, or Compounds, Manufactures, Salts, Derivatives or Preparations.
    This form is ornate with an opium poppy graphic on the top left corner.
    This is a signed original and dated 1919.
    This form is for an order of
    HEROIN HYDROCHLORIDE
    and
    MORPHINE SULFATE
    preparations, probably war effort related.
    Its a rare piece to get both naming conventions of the drug Heroin listed directly on one form !!!
    its in pretty good used condition, a few light bends, otherwise, condition is excellent.
    A perfect size for framing for that doctor or Pharmacist in your life, would make a great gift.
    Please review all photos and read the description carefully and/or ask questions before bidding.
    Thanks for looking and good luck if you choose to bid !!!