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[[Written on Ruled Paper--No Heading]]

[[Scribble "pen-test" in upper left corner]]

This report is incomplete until [[smudged]] each Blank is filled.
[[strike-through]]  [[? ? Numbers on cypher.]] [with additional strike-through above, illegible]

To be forwarded as soon as possible after the 1s of each month
A School under the control of one Teacher or a Teacher with one Assistant is to be reported as one School.
The question "When [[?word?]] his 
[[?word?]] to the present season.
Average attendance to be computed by
weeks.
Each night-school is to be reported on a separate blank
Schools in the Alphabet Primer o 1s Reader are in the Primary Grade
Schools in the 1st o 3rd Readers are in the Intermediate Grade
Schools in the 4th Reader are [[strike-through]] [[in the]] Grammar schools.
High o [[?word?]] schools are above the Grammar Schools.

[Several Blank Lines]

______________________________________

[[Numbers jotted on a diagonal not referring to any text]]

40, 41, 42, 43, 44
_____________________________________

[[Text written down Right side of page vertically]]
 
Vol.2. No.1170 N.C, D.G. [[?#s or word]]

[[Add'l text written down Right side of page vertically]]

Teacher's Monthly
School Reports
For month of __  ______ 186
District or County _____________
State ____ ___________
Name of School _____________
Name of Teacher ____________

[[signature]]
Col. R. F. A. L[[??]] 9, 1867

[[Several Blank Lines]]

Forwarded - ________
Received - _________

Transcription Notes:
Page has several ink smudges making some words more difficult to see.