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[ED. FORM, No. 3.]

TEACHER'S MONTHLY SCHOOL REPORT
For the month of April, 1869.
District or County, Dinwiddie
State, Virginia
Name of School, Colored School No. 1
Name of Teacher, Giles B. Cooke
Mrs Simpson
Mrs Mays
Miss Peterson
Miss Gilliam

Forwarded
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 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 Society will adopt this form of Report; if so, 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., & A.L., Washington, D.C, Jan. 1, 1868. 

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