The hand-made card for Ruth Sackner's 67th birthday is based on Shaker furniture and Marvin Sackner's medical platform that shakes the patient releasing nitric oxide. Clippings written and collaged by Marcia Teichner read, "Notice to our patrons - Sister Ruth Sackner - First Lady of the Shaker Table - Celebrates Birthday! We are thankful for you, Sister and we send you love from the community." Also pictured is Marvin Sackner behind a Shaker table. -- Source of annotation: Marvin or Ruth Sackner.