tier. 



No. of Watch Case*. 



No. of Works 



No. of Bank Book 

 No. of Bicycle 



My Weight on 



Height 



Sice of my Hat ». Gloves 



" Hosiery i Collar 



u Cuffs Shoes.. 



Drawers ......Shirt .« 



This book belongs to 



In ease of accident notify 



."her. 



'her. 



Wea 



We. 



Wed. April 19, 10 22 



Thursday 20 



Ther. 



Friday 21 



Ther. 



