 Caruso commissioned the New York jewelers Tiffany & Co. to strike a 24-carat-gold medal adorned with the tenor's profile.He presented the medal in gratitude to Simonelli as a souvenir of his many well-remunerated performances at the Met.In addition to his regular New York engagements, Caruso gave recitals and operatic performances in a large number of cities across the United States and sang in Canada.