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[ED. FORM, No. 3.]

TEACHER'S MONTHLY
SCHOOL REPORT

For the month of January, 1869.
District or County,E.N Market Dorchester co
State, Maryland
Name of School, Carthagenia
Name of Teacher, Mary A Yates

Forwarded January [[?]]th 1869
Received __________

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. 
[[Icon of hand pointing to the right proceeding the text]] 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.