The A is almost gone completely, but if you have your jewelers loop you can make out the bottom leg of it. Its hardly there in the picture. The item "Meyer 6 New York USA Alto Saxophone Mouthpiece" is in sale since Friday, September 28, 2018. This item is in the category "Musical Instruments & Gear\Wind & Woodwind\Parts & Accessories\Mouthpieces".
The seller is "skiphog" and is located in Plymouth, Massachusetts. This item can be shipped worldwide.