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[ Form No. 696.]
GENSUS OF WIUH‘TE; TE&GHERS
Of the County‘of‘ ‘ a{mdm B : , for the School year closing July 31, 1893,
. DIRECTIONS,—Write plainly. Do not write between the lines, Write only on this side of the: paper Write Mr., Mrs.,or Miss,
as the case may be, before.cach name. :If-a teacher’s post-office is in another county, write name of such county on hne \\uth post-
thce In citie§, write street and number of residence,
These forms should be filled up and returned to the Department of Public Instruction, ON OR BEFORE DLCEMBFR 20, 1892,
(%LL Regulation 17, page 85, School Law.) JOHN E. MASSEY, Superintendent.
PRESENT POST-OFFICE. "PERMANENT POST-OFFICE. Grade of
5 . s e L __Certificate.
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