Tiffany Cross Medal of Honor at the risk of his life above and beyond the call of duty and without detriment to his mission." This pendant became the "Tiffany Cross". The "Tiffany Cross" is suspended from the classic light blue Medal of Honor ribbon with 13 white stars. At the ribbon top is a bar with the word "VALOUR". The medal is a gold cross pattée overlaying an oak and laurel wreath on the obverse side, with an antique anchor in each arm of the cross. The center, overlaying the cross, is an octagon with the phrases "UNITED STATES NAVY" to the top and "1917·1918"
Service ribbon Service ribbon A service ribbon, medal ribbon, or ribbon bar is a small ribbon, mounted on a small metal bar equipped with an attaching device, which is generally issued for wear in place of a medal when it is not appropriate to wear the actual medal. Each country's government has its own rules on what ribbons can be worn in what circumstances, and in which order. This is usually defined in an official document and is called "the order of precedence" or "the order of wearing". In some countries (particularly in North America and Israel), some awards are "ribbon only",