Did some of my own research on the picture. The source is from photobucket which points to an album owned by El Cid? Suspicious.
Download the photo. Open it in "Paint". Zoom in to 800%. You'll easily see a rectangle of pixelation around the lettering that is not present on the slide. That's a pretty good indication that something's been cut/pasted. The 19M has some big blobs that indicate it's probably modified.