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| DIRECTIONS.—Write plainly.. Do not write between the lines.
mz \y be, before cach name. I a teqchel s post-office is in a
numbex of residence.
| :
(Sée Regulation 17, page 83, School.Law.)
| NADIE.
| The Superintendent will fillup ¢ md return these forms to the Department of P
[THIS LIST WILL BE OF NO SBERVICE UNLESS NAMES AND POST-OFFICES ARE PLAINLY WRITTEN.j
CENSUS OF WHITE TEACHERS
Of the County of##fli_zéfiggém R B
Write only on this side of the paper. Write Mr., Mrs., or Miss, as the case
nother county, write name of such county on line with post-office. In cities, write street and
:POST-OFFICE DURING SCHOOL TERM.
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for the School Year 1895(9(6 '
ublic Instruction, ON OR BEFORE December 15th, 18936
JOHN E. MASSEY, Superintendent.
' . : | Grade of
PERMANENT POST-0FFICE. %Certificate.
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