|Title||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|
|Collection||Hoboken Commerce Collection|
|Scope & 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
controlled substances / drugs / medicine / medical / pharmacy / drugstore / druggist /
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
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.
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:
|Year Range from||1945|
|Year Range to||1945|
Isidor Keisman, Druggist
407 First St.
Government & Politics
Business & Commerce