The United States Navy Distinguished Service Medal was established in 1919 to recognize members of the United States Navy and Marine Corps who displayed exceptional meritorious service during World War I. The medal is awarded to individuals who demonstrate outstanding leadership, gallantry, and devotion to duty. In 1919, the United States Navy Distinguished Service Medal was first introduced by an act of Congress, signed by President Woodrow Wilson. The medal features a design that symbolizes the naval service, with a star and anchor motif. It is considered one of the highest military decorations that can be awarded to Navy personnel. The medal you are referring to, with the title "United States Navy Distinguished Service Medal 1919," is a historical artifact that represents the valor and dedication of those who served in the Navy during a critical period in American history. The fact that it comes with its original ribbon adds to its authenticity and historical significance. Overall, this item serves as a tangible reminder of the bravery and sacrifice of the men and women who have served in the United States Navy, and it holds a special place in the military history of the country. Careful Packing and Shipping from JMEDALS -Lithuania I'm do not Combine Shipping Good luck!