IDENTIFICATION {Printed form with responses handwritten} My Name is Ernest H. Buck

Address R.R.#2, Paris, Ont.Can.

96 ring 5 'Phone 217 ring 2

Birthday July 12

Age 20 Height 5 ',9 1/2 "

Complexion Dark Weight 155 In case of accident or illness please notify

Chas Buck.

If anyone should find this book kindly return to above address.

THINGS HARD TO REMEMBER

Number on case of my Watch

" movement "

Automobile License No.

Engine No. H.P.

Size of Tires

Number of my Bank Pass-book 25

My accident insurance falls due on }

My life insurance policies fall due on { June 15, 1945

{Printed} CALENDAR 1926