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Vintage 1926 Opium Sleep Hospital Order Form Federal Pharmacy History Buff Teacher Gift Doctor History Channel Ithaca NY New York 12/14

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Vintage 1926 Opium Sleep Hospital Order Form Federal Pharmacy History Buff Teacher Gift Doctor History Channel Ithaca NY New York 12/14

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$34.00 $40.00

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Overview

  • Vintage item from the 1920s
  • Material: us treasury department paper
  • Favorited by: 8 people
  • Gift message available
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Description

A great original 1923 Treasury Department issued order form for Opium or Coca Leaves, or Compounds, Manufactures, Salts, Derivatives or Preparations! This 1923 issue (the red duplicate) was recently shown on the History Channel during a program on illegal drugs. This is the only issue that the government printed a lengthy list of "Instructions" on the back...like "Narcotics Lost in Transit"! Please see photos!

This form is ornate with a beautiful poppy graphic on the top corner. It was issued to Ithaca City Hospital, in Ithaca, NY on October 26, 1926. An order was placed on December 14, 1926 for Trionol (https://books.google.com/books?id=E7HbAAAAIAAJ&pg=RA1-PA84&lpg=RA1-PA84&dq=trionol+15+grains&source=bl&ots=VRMUHtSDmX&sig=gYRBmZigKmbSLuJnHHoqjuatMRI&hl=en&sa=X&ved=0ahUKEwiRw_328rLbAhXjj1QKHcrvCoUQ6AEIPzAD#v=onepage&q=trionol%20&f=false) and Codeine. This form was kept by the doctor/pharmacist (hospital) for his/her records, the top copy was sent to Kline's Pharmacy to fill, also in Ithaca,, NY

The form is large, 10 3/4" by 8 1/2", is watermarked, "USIR", has long accordian bends on the bottom right side and a couple tears/bends on the bottom border and age toning (not pure white), otherwise, condition is excellent!

This is a FANTASTIC piece of history and would be great to display in a pharmacy, museum or doctor's office! I am happy to answer any questions, please feel free to email and thank you for your interest! :)
A great original 1923 Treasury Department issued order form for Opium or Coca Leaves, or Compounds, Manufactures, Salts, Derivatives or Preparations! This 1923 issue (the red duplicate) was recently shown on the History Channel during a program on illegal drugs. This is the only issue that the government printed a lengthy list of "Instructions" on the back...like "Narcotics Lost in Transit"! Please see photos!

This form is ornate with a beautiful poppy graphic on the top corner. It was issued to Ithaca City Hospital, in Ithaca, NY on October 26, 1926. An order was placed on December 14, 1926 for Trionol (https://books.google.com/books?id=E7HbAAAAIAAJ&pg=RA1-PA84&lpg=RA1-PA84&dq=trionol+15+grains&source=bl&ots=VRMUHtSDmX&sig=gYRBmZigKmbSLuJnHHoqjuatMRI&hl=en&sa=X&ved=0ahUKEwiRw_328rLbAhXjj1QKHcrvCoUQ6AEIPzAD#v=onepage&q=trionol%20&f=false) and Codeine. This form was kept by the doctor/pharmacist (hospital) for his/her records, the top copy was sent to Kline's Pharmacy to fill, also in Ithaca,, NY

The form is large, 10 3/4" by 8 1/2", is watermarked, "USIR", has long accordian bends on the bottom right side and a couple tears/bends on the bottom border and age toning (not pure white), otherwise, condition is excellent!

This is a FANTASTIC piece of history and would be great to display in a pharmacy, museum or doctor's office! I am happy to answer any questions, please feel free to email and thank you for your interest! :)

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