1) The document is a birthday album created by Dr. Ronald Shapiro for Julianne Friend celebrating her birthday. 2) It describes gifts that were given to Julianne to wear for her birthday celebration, including a birthday t-shirt, birthday hat, and birthday bandana blindfold. 3) The gifts also included birthday wishes for Julianne's health, wealth, happiness, success in school and career, relationships, and enjoyment of life.