The image is a framed certificate with a red cross on it. The certificate is framed in a black wooden frame and is displayed on a white wall. The background of the certificate is a light beige color. On the left side of the frame, there is a black and white illustration of a group of people, including a man in a suit and a woman in a dress, sitting on a chair. The man is holding a cane and the woman is sitting next to him. Above the illustration, there are two figures, one of which is a nurse and the other is a doctor. Below the illustration is a text that reads "This Certificate is awarded to the American Red Cross Society during the Great War 1914-1918." The certificate appears to be old and worn, with some discoloration and wear on the edges.