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

Address R.R.#2, Paris, Ont. Hazel Grove Farm

'Phone 96 ring 12

Birthday July 12

Age 21 Height 5 ' 9 "

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

Mrs Ernest H. Buck R.R. #2, Paris, Ont.

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

My accident insurance falls due on }

My life insurance policies fall due on {

{Printed} CALENDAR 1927