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[ED. Form, No. 3.]
TEACHER'S MONTHLY 
SCHOOL REPORT

For the month of December, 1869.
District or County, Dallas County
State, Alabama
Name of School, Burrell Secondary
Name of Teacher, E, L, Benton

Forwarded Jan 6th 70
Received

EXPLANATIONS
If any of the within questions cannot be answered by the teacher, they may be left to 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.
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., AND A.L., Washington, D.C., October 1, 1868.

Transcription Notes:
Unsure about the first initial of the teacher. Also unsure about the signature at bottom of page used illegible as a place holder. ---------- Reopened for Editing 2024-01-02 08:11:18