This spoon would be great for the collector of medical items or for the "World's Best Cook". This sterling silver spoon is a measuring spoon for both teaspoon and tablespoon portions. The spoon has a "step" in the bowl of the table spoon that holds the teaspoon portion.
The spoon is approximately three and three quarts inches long. The maker's mark is that of a "bell" with "CO." inside the bell. I have been unable to identify this mark so far, but I am assuming it to be American. The spoon is also marked "STERLING" and the number "44".