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

For the month of June, 18[[number crossed-out]]70
District or County, Shelby
State, Ala
Name of School, Columbiana Colored  
Name of Teacher, E S Thompson 

Forwarded Jun 30th 1870
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 all 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.