Grand Cross with the "White and Black Distinction" dating from the early 20th Century. Sash Badge, 55x45 mm., GOLD and enamels, the centre in the finest enamel painting, ornamented upper loop and hinged suspension ring, long sash for ladies. Breast Star, 69 mm., GOLD with toned silver ornaments between the rays, the reverse with horizontal pin and upper hook, in wooden luxury case of issue by "Villanueva & Laiseca - Madrid", with dedication on silver plate to a famous Doctor from the Spanish Red Cross. An outstanding and rare set of this order, created in 1856 as a reward for exceptional merits in the assistance and welfare, intended as a special decoration for prominent services or to highest ranking, meritorious dignitaries, almost pristine condition. I RR!