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[ED. FORM, NO. 3.]

For the month of September, 1869.
District or County, Buckingham   
State, Virginia
Name of School, Alexander Hill
Name of Teacher, Edward Lomax

Forwarded Oct. 29th
Received Oct. 26th

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 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.

BUREAU R., F., AND A. L., Washington D.C., October 1, 1868.

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