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[ED. FORM No. 4.]

TEACHER'S MONTHLY
SCHOOL REPORT.

For the month of July [[strikethrough]] 7 [[/strikethrough]] th [[strikethrough]] 31 [[/strikethrough]] 1867.
District or County Dallas Co
State, Ala
Name of School, Wms Cox Plantation
Name of Teacher, E. Yates
Witness} Wm. R. Cox,
John Hasselhander
Wms. Cox

Correct
T.H.H.

Forwarded
Received