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|Teacher's Monthly School Report.| |For the month of [line] May 1867.| |District [or County, crossed out] of Colombia.| |[State, crossed out] Washington D.C.| |Name of School, First Col of School| |Name of Teacher, Ms C. Hain| |N.Y. Branchc J + W. Com.| |Forwarded [line] 186.| |Recieved [line] 186.|