FOR IDENTIFICATION. 



Mtj Name 



Mu Residence. 



Mu Business Address. 



My Home Telephone , 



Mij Office Telephone , 



Mu Home Fire Alarm Box 



My Office Fire Alarm Box 



In case of accident or serious illness please notify ■ 



The malte of my Automobile 



Its Number 



Number on case of my Watch 



Number of the works 



Numb^.r of my Bank Book 



NunWer of my Ins. Policy '. .... 



Name of Ins. Co 



My Weight was-. On 



and my Height feet- ■■■■ Inches 



Size of Hat Gloues 



" Shirt .....Collar 



" Hosiery Shoes 



