1” with W&H backpaper used 1900-1912. Depicts profile red elephant holding product package in its trunk and with tiny text emanating from its mouth reading “A Roaring Success.” The elephant’s back has text incorporating the use of a letter “C” to form the initial letter of 3 different words and the slogan reads in full “Why Suffer/Dr. Cole’s/Catarrh/Cure/Cures.” Hake book Collectible Pin-Back Buttons photo example Medicine Section #594. Comes with Hake’s COA. A tiny speck at upper right was dirt now removed. Button is actually Exc. and displays essentially Mint.