United States. An Army Distinguished Service Medal, Boxed Buy Now without ribbon and brooch pinback)

without ribbon and brooch pinback)

a static swastika on the bottom of the blackened wreath

The cardiologist determined that Paquin had "rheumatic heart disease with early enlargement and probably both mitral aortic valvular damage

It carries a facsimile of the founder

United States. An Army Distinguished Service Medal, Boxed Buy Now without ribbon and brooch pinback)Instituted in 1918. In fire gilt bronze with blue enamels, measuring 37. 7 mm (w) x 42 mm (h) inclusive of its integral suspension, original ribbon with brooch pinback, intact enamels, extremely fine. Accompanied by its 35 mm (w) x 10. 7 mm ribbon bar, in their cardboard box of issue, with the Robbins Co. of Attleboro, Massachusetts manufacturer's label affixed to the end panel. Footnote: The Distinguished Service Medal (DSM) is a military decoration