Overview
Traditionally, each year of marriage has a different gift associated with it. Fourth anniversary gifts carries the connotation of fruits, flowers and books, making it an easy and inexpensive anniversary to shop for.
History
References to giving a spouse a special gift on a wedding anniversary date all the way back to the Middle Ages, when spouses gave one another silver garlands on their 25th wedding anniversary. The earliest reference to another material besides silver and gold was made in 1875, with wood being the choice for the fifth anniversary. The materials were solidified in 1937 as American National Retail Jeweler Association issued a comprehensive list for materials for each anniversary up to the 15th year and then each fifth year thereafter.
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Flowers
The flower associated with the fourth wedding anniversary is the geranium. Although it's unclear where this originated, Anniversary Ideas believes it was manufactured by a florist association. The earliest reference on this site to specific flowers on specific wedding anniversaries is from the 1960s. When buying flowers for your spouse or a couple, if you wish to fit the theme, buy them a bouquet of geraniums. Pick flowers that match their sensibilities and home decor.
Fruit
There is no official fruit for the fourth anniversary, and any fruit will do. A nice organic fruit basket complemented with flowers and wine is a good idea. Before you send the fruits, make sure you speak with the couple about what they may be allergic to. It would be terrible to send a basket full of strawberries and find out that he has a deathly allergic reaction to the fruit.
Combine Them
You can combine fruits and flowers in creative ways, such as buying another present unrelated to the official anniversary list and decorate the package with fruit or flowers (or both). In addition, you can send them together through a Web site like RedEnvelope, which offers a fine selection of both flower and fruit baskets.