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[En. FORM, No. 3.]
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TEACHER'S MONTHLY
SCHOOL REPORT
For the month of January of 31st, 1869.
District or County, Piscatway [[Piscataway]] Prince 'gorge
State, of Maryland D l
Name of School, Zion [[best guess?]] School house
Name of Teacher, Mrs Mary a Davenger

Forwarded 30th of January
Received

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