McCarter, H.C. (b. 1893) [Treasury Department Prescription Blank - National Prohibition Act]
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Gilder Lehrman Collection #: GLC06097 Author/Creator: McCarter, H.C. (b. 1893) Place Written: Beaver Falls, Pennsylvania Type: Printed document signed Date: 19 November 1923 Pagination: 1 p. ; 11 x 17 cm. Order a Copy
Prescription for Ira Altman of Beaver Falls, Pennsylvania, for "Sp[iritus] Frumenti" (alcohol) issued by Dr. McCarter. Treasury Dept. US Internal Revenue B 38246 / Blank no. 57. Watermarked "Prohibition."
BOOK TREASURY DEPARTMENT BLANK
NO. B 38246 U.S. INTERNAL REVENUE NO. 57
FORM NO.1403 - REVISED FEB. 1922
PRESCRIPTION BLANK - NATIONAL PROHIBITION ACT
Rx PERMIT NO. J 6677
Sp Frumenti Ot Nov 19 1923
Sig: ZT as directed FOR Ira Altsman
1227 9th ave
Beaver Falls Pa
FOR USE OF DRUGGIST OF PHARMACIST ONLY Gordons Pharmacy
PERMIT NO. BE478 184 Brighton ave
CANCELLED NOV 19 1923 Rochester Pa
WALTER A. GORDON H.C. M"Carteru M.D.
184 BRIGHTON AVE. 1408 7th ave
ROCHESTER, PA. Beaver Falls Pa
THIS PRESCRIPTION MUST NOT BE REFILLED
SEE REGULATIONS FOR PENALTIES IMPOSED
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