**HK 



No. of Watch Case 



No. of Works 



No. of Bank Book 



No. of Bicycle 



My Weight on 



Height 



Size of my Hat Gloves . 



" Hosiery Collar. 



" Cuffs Shoes... 



" Drawers Shirt ... 



This hook belongs to 



Iii caae of accident notify 



.fe^...&**fesfe 



U " .^S..$*:,. + ./kj^..:... 



Wea. 



TUBS, Jan. 1, 1907 



Ther. 



CaJ--v^ 





-s-*4K 







. t>~- 



Wednesday 2 



h-^e^K 



=— jr^- 



Vv'ea. 



Ther. 

 ♦5"° 



O^A-~*- <£*-< «^^ f)^^*<3 «- u*>M^ 0»»*^JC^ *OAil^ 



Orwjis-M *»v«J , JHk<^ 4-r-i «*^« ■*r«*»*G? "». 



