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[Ed. Form, No. 4.]
TEACHERS MONTHLY SCHOOL REPORT,
For the Month of       , 186.

☞ A School under the distinct control of one Teacher, or a Teacher with one Assistant, is to be reported as one School.
☞ To be forwarded as soon as possible after the 1st of each month.

Number of Day-Schools   1
Number of Night-Schools   1
Location, and Name of School   Hot Spring Tri School
When opened    June 1st  1867
Societies, &c., Patrons    
Number of Schools sustained by freedmen   2
Number of Schools sustained in part by freedmen   0
Number of teachers transported by Bureau    0
Number of School buildings owned by freedmen    0
Number of School buildings furnished by Bureau     0

[[note]]
Sir, I send you two dollars from the sale of books. I've sold eight second readers give two and two on hand. They use Websters Seller. I've presented six first readers, the next on hand
[[/note]]

Number of pupils in Sabbath Schools   1 [[cau 50?]]

To these questions give exact, or approximate answers.

1. How many above Schools are graded? 0
How many grades? 0
2. How many Day or Night Schools, within your knowledge, not reported above?    0 
Number of pupils (estimated) in such Schools?    
3. How many Teachers in the above Day or Night Schools?    0  
White,     0
Colored,    0
4. How many Sabbath-Schools, within your knowledge, and not reported above?    0
Number of pupils (estimated) in such Schools?    
5. How many Teachers in the above Sabbath-Schools?    0
White,    0
Colored,    0
6. How many Industrial Schools?     0
Whole number of pupils in all?     0
State the kind of work done,    0
7. Whole amount of tuition paid by the Freedmen during the month,  promised 75.00
8. Whole amount of expenses for the above Schools by the Bureau for the month,  0
9. Grand total of expense per month for support of above schools by all parties    85.00
10. Whole number of High or Normal Schools, 1
How many pupils in all?     30
11. Remarks.  The teacher is payed by a society comprised of Freed-men

☞ This report is incomplete unless each blank is filled by a number, or cypher.
 
McGill Pierce

Transcription Notes:
11/5 - Paper scrap covers a large part of base document, not exactly sure how to notate that Edited, completed - The paragraph marked as [[note]] is a piece of paper placed on top of the school report.