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Autism Bell Sterling Silver Pendant. The Bail is a puzzle piece and the clapper is Child Clasping Knees. Comes with story card that reads " You are a blessed child with spunk to boot. You are loving, kind, and beautifully unique. You have a heart of gold with a personality to cherish. Although you and I may sometimes get frustrated and not understand, I have loved you always and will love you forever. May the puzzle pieces fit your heart as we join together and raise awareness for children with Autism." Made in the U.S.A. Sure to be a keepsake for years to come, chains are available.