Unusually, 3 buttons are sewn on, but 4 are stapled on.
The back of the card shows sizes available with suggested uses. Note the term ‘waists’. A waist was blouse with a drawstring at the waist that could be drawn in to create a loose puffiness to the garment. (And a blouse is a loose fitting shirt without shirt tails worn by younger boys, girls and women.) Washington proudly declares that it is the Cleanest City in Iowa.