A Serbian Order Of The Star Of Karageorge; Officer 4Th Class certificate_of_authenticity with his medical situation still

with his medical situation still being monitored closely

constructed of black rayon with painted (as opposed to machine embroidered) lettering

According to this booklet

the ISO is un-named

three neat folds

A Serbian Order Of The Star Of Karageorge; Officer 4Th Class certificate_of_authenticity with his medical situation stillOf fine quality in silver gilt with red, white and blue enamels, measuring 36. 8 mm x 58. 2 mm, inclusive of its crown suspension, on original triangular ribbon, spotting on the white enamelled arms, minor enamel loss on crown, otherwises the enamels are intact, extremely fine. Footnote: The Order of the Star of Karageorge was established in 1904 by King Peter I, for outstanding civil or military merit.