Reminds me of the old Fisk Tire advertising used from 1907-60's.

I could immediately pinpoint the date of this photo by the "bowl cut" that was popular during the first third of the 20th century. No need for a barber--just pop a bowl on a kid's head and snip away!

One of the reason families, including my grandparents, had so many children, was that they couldn't know how many would live to maturity.

I'm probably older than most of the Shorpy readership and I knew both of my mothers parents and my father's mother for many years. They all had buried children in Russia and one maternal uncle died here. Like Josephine, he contracted tuberculosis and died at about 20 years of age. Unfortunately he passed in the mid 1930s, before I could get to know him. My unsolicited advice to the younger generations, a great many of whom (like my own grandchildren) will get to know their great grandparents, is to constantly talk to them and listen to their stories some of which will be repetitive and boring but many will be gems.