I believe this piece to be of Victorian design, or perhaps Art Nouveau. It is a beautifully done flower hook to attach to your belt and has a single chain to attach your pocket watch. You may also use it as a single chain chatelaine.
The piece is marked sterling at the bottom hook. the hook and chain test for silver (the chain other than the hook probably bring of a lower silver grade) but the top floral piece is not silver.
It is 7 1/2" long and 1 1/4" wide. It weighs 15.5 grams and is in fine vintage condition
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