Form, order: Treasury Department, U.S. Bureau of Internal Revenue; for controlled narcotics used by Hoboken pharmacist Isidor Kiesman, 407 First St., Hoboken, N.J., Dec. 10, 1945
Form, order: Treasury Department, U.S. Bureau of Internal Revenue; for controlled narcotics used by Hoboken pharmacist Isidor Kiesman, 407 First St., Hoboken, N.J., Dec. 10, 1945
Entry/Object ID
2014.015.0029
Scope and Content
Treasury Department order form for controlled narcotics used by Hoboken pharmacist Isidor Kiesman, 407 First St., Hoboken, N.J., Dec. 10, 1945
Printed form, 8-1/8" wide x 10-3/4" high with imprint plate; inkstamps and holographic entries. Security paper background; engraved vignette at top left of poppy flowers.
Serial no. N821773.
Two items were in this order: B+W Empirin
UNITED STATES INTERNAL REVENUE ORDER FORM FOR OPIUM OR COCA LEAVES, OR COMPOUNDS, MANUFACTURES, SALTS, DERIVATIVES OR PREPARATIONS
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controlled substances / drugs / medicine / medical / pharmacy / drugstore / druggist /
Acquisition
Accession
2014.015
Source or Donor
Purchase
Acquisition Method
Purchase
Credit Line
Museum Collections.
Archive Details
Date(s) of Creation
1945 - 1945
Archive Notes
Date(s) Created: 1945
Date(s): 1945
General Notes
Note
Notes: Selected text:
Treasury Department
UNITED STATES INTERNAL REVENUE ORDER FORM FOR OPIUM OR COCA LEAVES, OR COMPOUNDS, MANUFACTURES, SALTS, DERIVATIVES OR PREPARATIONS THEREOF UNDER SECTION 2 OF THE ACT OF CONGRESS, APPROVED DECEMBER 17,1914. SERIES OF 1936
No. N821773
Date: Dec. 10, 1945
This order may be filled only by a registered importer, manufacturer, producer, compounder, or wholesale dealer (a class lor 2 registrant) unless it calls for an aqueous or oleaginous narcotic solution under the conditions outlined in articles 15 and 73 of Narcotic Regulations No. 5.
The merchandise requested below may not be furnished if this form shows any alteration or erasure or evidence of any change whatsoever.
If unused upon discontinuance of business or change of location this form must be returned for cancellation to the collector who issued it.
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You are requested to send to me at the location above specified by the collector of internal revenue for this district the following- merchandise which comes within the purview of the act of December 17, 1914, as amended, for use, sale, or distribution in the lawful conduct of my business or legitimate practice of my profession, for which I am duly registered under the above stated registry number at this time under said Act, and for which I have paid the taxes necessary to qualify me in the above stated classes for a fiscal period covering the date of this order which has been inserted above by me:
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Status: OK
Status By: dw
Status Date: 2014-05-22
