

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.