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[Ed. Form No. 4]
X
TEACHER'S MONTHLY 
SCHOOL REPORT

For month of October, 1867.
District [[strikethrough]] or County [[/strikethrough]], Colombia
[[strikethrough]] State [[/strikethrough]], Washington, D.C.
Name of School, Sixth St. A[[?]]
Name of Teacher, Kate Trumbull
Reformed Presby Mifsion

Forwarded
Received

[[note]]
EXPLANATIONS.
The accompanying Blank in a copy of the Bureau Superintendent's Blank placed in columnar form for the sake of simplicity and in reserve entire 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.
[[image of hand pointing right]]Should more extended forms be used, it would oblige the Commissioner to have them include all the items of this.
Bureau B. F. & A. L., Washington, D.C., Oct. 1, 1866.

Transcription Notes:
unsure about name of school, teacher last name, written phrase at end