This Autographed 8x10 Photo with the inscription of "With Thanks" has been Personally Signed by Louise Fletche of One Flew Over The Cuckoo's Nest. This item is 100% Authentic to include a Certificate of Authenticity (COA) / hologram by Beckett Authentication Services. The authenticity can be verified on Beckett Authentication Services website. Please refer to photo for condition of photo and signature prior to purchase. There is evidence of an inscription removal above the signature.