FOR IDENTIFICATION. 



My Name 



My Residence - ■ ■ 



My Business Address 



My Home Telephone . . . CtMfdvJ.fA . . 



My Office Telephone 



My Home Fire Alarm Box 



My Office Fire Alarm Box 



In case of accident or serious Illness please notify ■ ■ . 



The make of my Automobile. 



Its Number 



Number on case of my Watch 



Number of the works ■ - 



Number of my Bank Booh 



My Weight was On 



Height feet Inches 



She of Hat Qlooes 



" Hosiery Collar ■ 



" Cuffs — ■ Shoes 



" Shirt Drawers 



