Watch List notes:

USA, PRESIDENTIAL MEDAL OF FREEDOM, (Female version), in case together with ribbon brooch, miniature medal, and riband with emblem affixed. Uncirculated and unobtainable as an original unless awarded.

Established by President John F.Kennedy in 1963. Awarded for an especially meritorious contribution to the security or national interests of the United States, world peace, cultural or other significant public or private endeavours.