Number who have attended school during the year: Males, Females, Total number, Number of months a school has been taught, months by Mr. months by Miss Wages paid Mr. Amount of school money received from county treasurer, Amount raised by district tax for teachers' wages, Amount raised by district tax for building school- house, Amount raised by district tax for furnishing school- house, Amount expended for teachers' wages, Amount expended for building school-house, Amount expended for furnishing School-house,
This ——— day of ———, 186 .
8 E Add a copy of teacher's report.
SCHOOL TEACHER'S CERTIFICATE.
Sect. 79. Dakota Territory,
——— county,
School teacher’s certificate. This is to certify that ——— has been examined and found competent to give instruction in orthography, writing, arithmetic, English grammar, geography, and ———, and having exhibited satisfactory testimonials of good moral character, is authorized to teach these branches in any common school within this county.
——— ———,
[Note.—Sects. 80, 81, 82, and 83 consisted of forms for "Teacher's Daily" and "General Register," and form of reports "to District Clerks" and of "Branches of Study Taught," which were not enrolled with the law.—Printer.]
FORM OF DEED.