FOR IDENTIFICATION. 



My Name ■ 



My Residence 



My Business Addres3 



My Home Telephone 



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 vase of m * Watch .* 



Number of the work; 



Number of my Bank tSook • 



My Weight was On 



Height feet indies 



Size of Hat Qloues 



" Hosiery Collar 



" Cuffs Shoes - 



" Shfrt Drawers . . 



