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A soldier who receives the purple heart was wounded in combat during military service. It may be presented to his/her family if deceased.

A military grave stone may include the letters 'PH' to denote the award of the purple heart. The award may be given multiple times.

The wounds received must be caused by the enemy for the award to be valid. A Humvee rollover, for example, would not result in a purple heart.

The design and colors of the medal were chosen because George Washington's original Badge of Military Merit was a purple heart edged in white, along with the reverse inscription "FOR MILITARY MERIT" and the obverse engraving of George Washington to tie it to the historic honor.

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