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[ED. FORM, NO. 3.]
[[plus sign]]
TEACHER'S MONTHLY
SCHOOL REPORT

For the month of November, 1868.
District or County, Frederick
State, Maryland
Name of School, Asbury No 1
Name of Teacher, S. U. Lautern

Forwarded November 4
Received

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EXPLANATIONS.

If any of the within questions cannot be answered by the teacher, they 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.
Night and Sabbath schools taught by a group of teachers should be reported but once.
In the "Remarks" notice any important fact which the blank does not call for.
It is hoped that the Educational Societies will adopt this form of Report; if so, the Bureau can furnish the blanks.
☛ 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., October 1, 1868.

Transcription Notes:
Note to Staff/Other Reviewers: Check whether the forwarded date is merely "November 4" or something else, such as "November 4th".