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This is a vintage 1940 Red Cross nurse's uniform, in very nice condition. This uniform has all the buttons, which can be removed for washing. The should shoulder strips are secured on one end with a snap and the other with a button. This was purchased at an estate auction in NH from the granddaughter of the woman who wore this uniform. She told me that she was a Red Cross volunteer for 30 years. She is still alive and is in her 90's.