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X   [ED. FORM No. 4.]

TEACHER'S MONTHLY
SCHOOL REPORT

For month of October, 1867.
District [[Crossout]] or County [[/Crossout]]    of Columbia
[[Crossout]] State [[/Crossout]]  Washington, D.C.
Name of the School,
Name of the Teacher,  Helen M. Johnston 
Trustees Colored School

Forwarded             Nov 12th
Received              Nov 19th


EXPLANATIONS.

   The accompanying Blank is a copy of the Bureau Superintendent's Blank placed in columnar form for the sake of simplicity and to preserve uniformity.
   It is hoped that the Educational Associations will adopt this blank, or one which will contain these questions. (Should this exact form be adopted the Bureau can furnish the blanks.)
   If any question cannot be answered by the teacher, it may be left for the Superintendent. Place each answer, to the extent of your knowledge, opposite the question, and he will fill the remaining spaces.
   It is supposed that no teacher has more than one day and one night school, or but one of either
   Night and Sabbath schools taught by a group of teachers should be reported but once.
   The above explanations are deemed necessary where this blank is adopted by the Associations.
   ☞Should more extended forms be used, it would oblige the Commissioner to have them include all the items of this.
BUREAU R. F. & A. L., Washington, D.C., Oct. 1, 1866.



Transcription Notes:
Don't understand the teacher's last name in the form Need to finish the Explanations.