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[ED. FORM, No. 3.}
TEACHER'S MONTHLY
SCHOOL REPORT

For the month of December, 1869.
[[strikethrough]] District or [[/strikethrough]] County, Westmoreland
State, of Virginia 
Name of School, Salem
Name of Teacher, John  Payne 

Forwarded by mail December 18th 
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., AND A.L., Washington, D.C., October 1, 1868.

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