FOE IDENTIFICATION 



My Name and Address is 



^,.^^^..^^0;^^^^ 



, hi case of accident or serious illness please notify -^€"1^ ^ 



■ a a. 



Calendar. 



ISOO 



THINGS TO BE EEMEMBEEED. 



The make of my Bicycle is 



c 



C/0 



The number on the case of my Watch is. 



; :The number of the works is 



The number of my Bank Book is . ^ 



My Weight was ■ ^ , .... ^ 



On 



7 



21 



28 



o 



I 



8 



29 



CO 



3 



4 



i. 



1/2 



9 

 16 



30 



and my Heiglit . feet - inches 



Size of my Hat. '^Y ■ ■ (gloves \ - . A f 



Hosier 



Collar 



/ 



2;«$ 



CD 



3 



10 



24 

 31 



/ 



2/1^ 



/o 



Shoes 



Shirt ..... Drawers . . . • 



H 



/ 



4 

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18 



25 



I 



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5 6 

 12 



19 

 26 



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13 

 20 



27 



• • 



3 



1/ 



6 

 13 



3 



10 



17 



24 



0, 

 30 



7 



14 

 21 



28 



• • 



4 

 II 



18 

 25 



I 



8 



15 



2 



9 



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22 i 23 

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20 ! 2 I 22 

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P 



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12 



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00 



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10 



17 

 24 

 31 



9 

 16 



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13 



20 



27 



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6 7 

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31 



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0 



4 



II 



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29 



9 

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5 



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10 



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31 



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13 

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71 8 



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28 



19 



• • • • 



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9! 10 

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23 I 24 

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7| 8 



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21 



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• • • • 



29 



