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[Ed. FORM No. 3.]

TEACHER'S MONTHLY
SCHOOL REPORT

For the month of June, 187
District or County, Henrico 
State, Virginia
Name of School, Merrill
Name of Teacher, Henrietta A. Bass

Forwarded 
Received 

EXPLANATIONS
If any of the within questions cannot be answered by Teacher, they may be left for the Superintendent. Please each answer, to the extend 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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