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Ed. Form, No. 3.
Teacher's Monthly
School Report
For the month of September, 1869.
District of County, Laroline[[?]]
State, Virginia
Name of School, Ruther Glen
Name of Teacher, A J Webb

Forwarded
Received

[Printed notes on right side]
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 face 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 exteded forms be used, it would oblige the Commissioner to have them include all the items of this.
Bereau R., F., and A.L, Washington, D.C., October 1, 1868 

Transcription Notes:
---------- Reopened for Editing 2024-06-07 12:09:44 Printed date of document states 10/1/1868. Therefore, date of document must be 1869 and not 1867.