These buttons are 4 hole genuine bone buttons. They are on a card that appears original although they are held onto the card with tape. Each button is slightly larger than a dime. I believe this type of button was used on underwear. There are 12. They probably could stand to be cleaned which I will leave to the buyer. They have been in a smoke free home with my button collection. We must collect 6% Pennsylvania Sales and Use Tax at checkout. Thanks for stopping by!