7/8" 14kt Gold Filled Scapular Medal, Your Choice of 3mm Swarovski Birthstone (Ruby Displayed), your choice of chain, # 48284
Our Lady of Mt. Carmel image is on the back.

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The 14kt Gold on this medal is a significant 1/10th of its final weight.
"Gold Filled" means a thick layer of gold bonded with heat and pressure to a base metal.