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Teacher's Monthly School Report For the month of April 1869
District or County, of wood
State, of West Va.
Name of School, 1st [[?]] school
Name of Teacher, S. E. Colburn
Forwarded May 1st
Received

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 by 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.