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[No. Form, No. 3.] 
TEACHER'S MONTHLY 
SCHOOL REPORT
For the month of October, 1868
District or Country, Annapolis City
State, Maryland
Name of School, Stanton
Name of Teacher, Gate H. Grover

Forwarded Oct. 31 M 1868
Received

Transcription Notes:
Not quite sure about the first part of the name or the "forwarded" section