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[Ed. Form, No. 3]
TEACHER'S MONTHLY
SCHOOL REPORT
For the month of June, 1869.
District or County, Chesterfield Co.
State, Virginia 
Name of School, Manchester
Name of Teacher, Rachel E.R. Thompson

Forwarded June 29th 1869.
Received


EXPLANATIONS
If any of the within questions cannot be answered by the teacher, they may be left for the Superintendent. Please 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 facts 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 items of this.
BUREAU R., F., & A.L., Washington, D.C., October 1, 1868.