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[ED. FORM, No. 3]

TEACHER'S MONTHLY
SCHOOL REPORT
For the month of Oct, 1869.
District or County, Madison Co
State, Va
Name of School,
Name of Teacher, Dundor

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 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., & A.L., Washington, D.C., October 1, 1868.

Transcription Notes:
6.9.2024 - Confirmed teacher's name with signature on the report which is on the next page of this project Teacher's name?? ---------- Reopened for Editing 2024-06-09 19:14:10 checkmarks do not need to be transcribed on this project