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[Ed. Form, No. 3.]
TEACHER'S MONTHLY
SCHOOL REPORT
For the month of July, 1869.
District or County, Nangemoy Charles Co Md.
State,
Name of School,
Name of Teacher, J.J. Taylor

Forwarded
Received

EXPLANATIONS.
If any question cannot be answered by the teacher, it 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.
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, 1866.

Transcription Notes:
I believe "Nangemoy" is a misspelling for "Nanjemoy".