This Autographed & Framed 3x5 Index Card has been Personally Signed by George Clooney of ER. This item is 100% Authentic to include a Certificate of Authenticity (COA) / hologram by Beckett Authentication Services. We have multiples of this same item. While the photographs are representative of this item, the size, placement and strength of the signature may vary. Each item is hand signed, therefore, each autograph is unique. This item has been professionally framed to overall dimensions of approximately 21.5 x 27.5 inches.