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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
Object Name Form
Catalog Number 2014.015.0029
Collection Hoboken Commerce Collection
Credit Museum Collections.
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
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controlled substances / drugs / medicine / medical / pharmacy / drugstore / druggist /


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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Date 1945
Year Range from 1945
Year Range to 1945
Search Terms Isidor Keisman, Druggist
407 First St.
Caption front
Imagefile 258\20140150029.TIF
Classification Pharmacy
Government & Politics
Medical
Business & Commerce