Vatican; Silver, unmarked, 32.5 mm, original ribbon, dark patina, extremely fine. In its hardshelled case of issue, Papal coat-of-arms of St. Pius X (Giuseppe Sarto, 1903-1914) on the lid, maker marked "TANFANI ROMA" on the inside lid, lightly soiled recessed medal bed, scuffed exterior, warped lid, case fine.