


FOR IDENTIFICATION. 
My Name......0--.-00- SAK oz 
My Residence. ...cscsccecescsees ese Goidll «Sinn Ss ence te cee 
My Business Address......... ce ee ° 
My Home Telephone .........00ce0eeceees oe jhomaters ay 
My Office Telephone........ Bet a. A Sane ee 
In case of accident or serious iliness please notify 
its number .....° 
Number on case of my Watch ..........60005 
Number of the works...... er at eh oa (ks a 
Number of my Bank Book ........... Meintgh.« eae vic sipigtaets A 
CALENDAR. 
1912 — 

























