EWP 16 loudounDec1892fcolored

Item

Title
EWP 16 loudounDec1892fcolored
Identifier
1011536
Is Version Of
1011536_EWP_loudounDec1892fcolored.jpg
Format
Jpeg Image
Number
62905469953390a8876e872d29ab3603e3a4a0edc0ba53c6dda66cfc4371011a
Source
/Volumes/T7 Shield/EWP/Elements/EWP_Files/Access Files/Upload temp/1011536_EWP_loudounDec1892fcolored.jpg
Replaces
/Volumes/T7 Shield/EWP/Elements/EWP_Files/source/Ingest One/16 Photography and Videos/BlackResearch/BHC BlacK History/ProsperityBaptist/SchoolConklin/Virginia1892to1965/EWP_loudounDec1892fcolored.jpg
extracted text
[Form No. 696.]

Of the County of...

office.
(See Regulation 17, page 85, 8cliool Lfl\\'j-)

84122 .
NAME.

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DIRECTIONS.—Write plainly. Do not write hetween the lines.
as the'case may be; before each name. - If a teacher’s post-office is in
Tn cities, write street and number of residence.

These forms should be filled up and returned to the Department of Public Instruction, ON OR BEFORE DECEMBER 20

GENSUS OF GOLORED TEAGHERS

OT(M&Z V22723

, for the School year closing July 31,

JOHN E. MASSEY, Superintende

Gorekelon: o
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PEIIDIANENT POST-OFFICE.



Write only on this side of the paper. Write Mr., Mrs.,or Miss,
anothetr county, write name of such county on line with post-

1893.

, 1892,
nt.

Grade of
Certifieate,

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