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[Ed. Form, No. 3.]
TEACHER'S MONTHLY SCHOOL REPORT
For the month of Sep't, 1869.
District or County, Hart
State, Ga
Name of School,  
Name of Teacher, Q. C. Jordan  

[[stamp]] THE NATIONAL ARCHIVES OF THE UNITED STATES [[/stamp]]
[[stamp]] BUREAU R.F. & A.L. GEORGIA OFFICE ASS'T. COMM'R. REC'D Oct 21 '69 [[/stamp]]

Forwarded
Received