How is this a PSA 5 with no qualifier?

[Vintagedeputy]

Originally Posted by bigfanNY

You say you look at it differently but the issues I referrance all left the Manufacturer / Printer without a back stamps. Were given to a distributor gum candy bread store ....on and on who placed a back stamps. Same thing happen here it and it would not surprise me to find other back stamps on this issue. And no surprise that PSA saw it this way.
If the end user added a backstamp or other writing then the card would not be as "Issued" and deserving of a qualifier. But the youg person who took Whitey home that day took it home as issued by the Nurse.

I look at it like someone just took a card and wrote something on it that was not intended, which to me would earn the MK qualifier.