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[ED. FORM NO. 4] 
TEACHER'S MONTHLY 
SCHOOL REPORT 

For month of June
[[strikethrough]] District or [[/strikethrough]] County Butler  
State, Alabama 
Name of School, Adams School 
Name of Teacher, Emma Clancey  

Forwarded July 2nd 1868 
Received 

EXPLANATIONS 
The accompanying Blanks is a copy of the Bureau Superintendent's Blank place in columnar form for sake of simplicity and to re-serve entire uniformity. 

It is hoped that the Educational Associations will adopt this blank, or one which will contain these questions. (Should this exact form be adopted the Bureau can furnish the blanks). 
If any question cannot be answered by the teacher, it may be left for the Superintendent. Place each answer, to the extent of your knowledge, opposite the question and he will fill the remaining spaces. 
It is supposed that no teacher has more than one day and one night school, or but one of either. 
Night and Sabbath schools taught by a group of teachers should be reported but once. 
The question, "when opened?" has reference to the present season. 
the above explanations are deemed necessary where this blank is adopted by the Associations. 
☛ Should more extended forms be used, it would oblige the Commissioner to have them include all the items of this. 
Bureau R.F. & A.L., Washington D.C., Oct. 1, 1866. 

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