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[Ed. Form, No. 3.}
Teacher's Monthly
School Report
For the month of August, 1869
District or County, Elizabeth City
State, Virginia
Name of School, Williams
Name of Teacher, Samuel C. Windsor
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 nowledge [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 Education 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. 
ureau [Bureau] R., F., and A.L., Washington, D.C., October 1, 1868