Fabergé brooch given by Alexandra to her childhood nanny Mary Ann "Orchie" Orchard on March 17, 1906

Source:

http://www.sothebys.com/de/auctions/ecatalogue/2009/russian-works-of-art-faberg-and-icons-day-sale-l09673/lot.552.html

The note:

For darling Orchie dear
fr.
Alix
& the 5 Children.

Above: Alexandra as a baby with Orchie.