The leather-bound book, titled "The First Fifty Years," is filled with handwritten and typed letters from friends, family and girlfriends, as well as childhood memories. Many of the handwritten letters are hard to decipher.
The book also contains Epstein's birth certificate, photos from childhood to adulthood, photos of women in bikinis, a chocolate chip cookie recipe, math equations and some explicit stories about sex, a CBS News review found.
The book is split into sections including family, Brooklyn, girlfriends, children, friends, science, "girl-friends," special assistants and business. A prologue was written by Ghislaine Maxwell.
One drawing in the book shows an adult man handing balloons to young girls. The year is 1983. Next to it is a drawing showing an older man receiving a massage from three nearly nude women in 2003.
"What a great country!" the drawing is captioned. It's unclear who the photo is from.
A letter from a "girlfriend" talks about Maxwell calling her to book a massage for her "employer." The woman recalls massaging Epstein's feet in 1993. He requested that she fly with them that night to Florida, but the woman had a previous engagement. Epstein called her when he returned "and my life was forever changed," she wrote, thanking him for all the opportunities he had provided her.
Another "girlfriend" wrote that she met Maxwell in Palm Beach while Maxwell was allegedly collecting "breast photos" for Epstein.
"I came to see you some months later you told me to take off my top," the woman wrote. "With the usual Epstein smile you looked at my breasts and said 'yeah, I was right.' Memory served you correctly. The beauty mark was on the right breast."
The book ends with a note from Maxwell that begins: "To the next fifty years."
"The next fifty years will be even more wonderful," she wrote.