FOR IDENTIFICATION. 



My Name 



My Residence 



My Business Address 



My Home Telephone - 



My Office Telephone 



Mil Home Fire Alarm Box 



My Office Fire Alarm Box 



In case of accident or serious illness please notify ■ ■ ■ 



The make of my A utomobite 



Its Number 



Number on case of my Watch 



Number of the works - 



Number of my Bank Book 



My Weight was On 



Height. feet Inches 



Size of Hat Gloues 



" Hosiery Collar 



" Cuffs Shoes - 



" Shirt Drawers 



