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[En. FORM, No. 3.]

TEACHER'S MONTHLY
SCHOOL REPORT
For the month of January, 1869.
District or County, Frederick County
State, Of Maryland
Name of School, New Market Colored [[best guess?]]
Name of Teacher, James Russell

Forwarded Forwarded Feb 2d [[2nd]]
Received

Transcription Notes:
[[There is a handwritten "X" on the left top corner of the document]]