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CONDITION

ISSUED

Year

Used

ISSUED TO

RETURNED

PUPILS to whom this textbook is issued must not write on any page

or mark any part of it in any way, consumable textbooks excepted.

1. Teachers should see that the pupil’s name is clearly written in ink in the spaces above in

every book issued.

2. The following terms should be used in recording the condition of the book: New; Good; Fair;

Poor; Bad.

THIS BOOK IS THE PROPERTY OF:

STATE ______________________________________

PROVINCE __________________________________

COUNTY ____________________________________

PARISH ______________________________________

SCHOOL DISTRICT ____________________________

OTHER ______________________________________

Book No._______

Enter information

in spaces

to the left as

instructed.