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[Ed. Form, No. 3.]

Teacher’s Monthly 
SCHOOL REPORT
For the month of April, 1870.
District or County, Henrico 
State, Virginia
Name of School, No 2218 Main St 
Name of Teacher, Rebecca Hoag

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:
I think this one is complete and ready for review! The name of the school is a part I tried to get as accurate as I could but I might still be unsure whether its "Main St" or something else.