San Francisco Union Labor Party Mayor P H (Pin Head) McCarthy is seen in this image from the 25-December-1910 San Francisco Call, with Madam Luisa Tettrazini after her Christmas Eve performance at Lotta's Fountain: http://cablecarguy.blogspot.com/2010/12/tetrazzini-100-years-december-24-2010.html
I suppose anyone who goes by the initials P H runs the risk of being called Pin Head.
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