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FORMS.

PAGE

937.

936. Agreement between teacher and directors...... Form of annual statement of district accounts...

339

440

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943. Certificate by collector to county commissioners of unpaid school tax on unseated lands.........

445

944. Certificate to prothonotary of unpaid balance......

446

946.

945. Petition for appointment of sanitary agent under act of April 11, 1899, P. L. 38...... Decree......

446

.....

447

948. Petition for removal of school directors. Act May 8, 1854,
Sec. 9, P. L. 617. Act Aprll 22, 1863, Sec. 9.
See Chap.
VII. Sec. 185........

947. Notice of convention of school directors for election of county superintendent ........

448

448

949. Petition to appoint inspector of school accommodation. Act June 6, 1893, P. L. 330.......

449

950.

Petition for removal of school directors. Act May 8, 1854, Sec. 9. P. L. 617. See Chap. VII. Sec. 185.......... 951. Application for state normal diploma...................... 952. Form of practical teacher's state certificate... 953. Lease of house and lot to school district 954. Deed to school district.........

955. Bond of school district for damages for appropriation of lands... 455 956. Apprenticeship of child by public charitable institution. Act

May 25, 1878, P. L. 152..........

957. General form of complaint or information...

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960. Secretary's official notice of absence to parent or guardian..... 459 961. Secretary's report to the principal or teacher....

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459

962. Summons on parent or guardian .

460

963. Service of summons..................

461

964. Petition to assess damages for a school house lot. Act April

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first part, and the board of school directors of......

school district, in... ...county, state of Pennsylvania, of the second part, as follows, to wit:

.......

day

teacher of the

The said...

...hereby covenants and agrees with the board of school directors of.. .. .. .. .school district, that (he or she) will faithfully and diligently, under the supervision and exclusive direction of the said board and their successors, but subject, nevertheless, to the visitation and lawful authority of the county superintendent, teach in ..

school house for the term of .... months; reserving the right of the board of directors to dismiss the said teacher at any time whatever, for any of the causes specified in the twenty-third section of the act of May 8, 1854, entitled "An act for the regulation and continuance of a system of education by common schools."

In consideration whereof, the said board of school directors of.... ..school district agrees to pay the said for (his or her) services as aforesaid, the sum ... dollars per month, during the period above named, to be paid...

of....

In witness thereof the parties have hereunto set their hands and seals this.... .day of....

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A. D. 19...

(seal)

President Board of School Directors.

Countersigned:

Secretary Board of School Directors.

Form of annual statement of district accounts.

937.

., (seal) Teacher.

Common school district.

Receipts and expenditures for 19...

Tax rate,. . . . mills on the dollar of valuation for school purpurposes, and ... mills for building purposes.

I.

Receipts.'

If there was a building tax and a house or houses erected during the year, the amount of the building tax, and the portion of it expended in the year for this purpose, is to be stated in the same way, with the balance on hand, or the debt for this purpose, if any, under the proper heads "Receipts," and "Expenditures for Building," as in the case of ordinary school tax and expenditure.

Balance on hand from last year (if any), as per

last report

From collector, including taxes of all kinds...
From loans, since last report

From county treasurer, for unseated lands, since
last report

...

From state appropriation for year ending June,

19..

From all other sources (as sales of houses or lands, liquor fines, etc.)

Total receipts

Expenditures.

For purchasing grounds

For building and furnishing houses...

For renting and repairing, etc... ..

For teachers' wages...

For school books and supplies

For fuel and contingencies....

For fees of collector, $...., and treasurer, $.

For salary of secretary or district superintend

ent.....

For debt and interest paid.

For other expenses

Total expenditures..

$.

$..

$

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Amount due treasurer, if any

Amount due on unsettled bills, if any..

$

$.

$..

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lars and

...cents, being one month's salary

due him as teacher up to... (or on account of salary, or for fuel furnished to... .......school house, or for rent for school house, etc., as the case may be), for which this will be your sufficient voucher on settlement of your accounts.

By order of the board of directors:

Countersigned:

Secretary.

President.

Bond for treasurer of school district.

939.

....of....

.......in. . . . .

Know all men by these presents, that we,. .. and.... County, Pennsylvania, are held and firmly bound to president of the board of school directors of.

......school district, in....

....

...county, for the use ... dollars

of said school district, in the sum of... (here insert double the amount of the sum that will probably come into the hands of the treasurer for one year, for school purposes), lawful money, to be paid to the said ..school district; to which payment well and truly to be made and done, we bind ourselves, jointly and severally, our heirs, executors and administrators, and every of them, firmly by these presents. Sealed with our seals; dated the ....

day of..

thousand nine hundred and..

one

.....

Whereas the said

has been duly chosen ...school district, for and

treasurer of the said.... during the term of one year from the date hereof: Now the condition of this obligation is such, that if the said...... ... shall and do well and faithfully perform all the acts and duties lawfully pertaining to his office as district treasurer aforesaid, according to the terms of the school law, approved the 8th day of May, 1854, and the supplements thereto, then this obligation to be void; else to be and remain in full force and virtue. And further, we do hereby empower any attorney of any of the courts of record of this state or elsewhere, to appear for us, and after one or more declarations filed for the above penalty, thereupon to confess judgment or judgments against us, as of the last, next, or any subsequent term, without stay of execution, and with release of errors, etc.

(Signed and sealed by obligors and witnessed.)

Bond of collector of school tax.

940.

Know all men by these presents that we,..

and....

of...

, are held and firmly bound unto the Commonwealth of Pennsylvania in the sum of ..dollars, lawful money of the United States of America, to be paid to its certain attorney or assigns, to which payment well and truly to be made we bind ourselves, our heirs, executors and administrators firmly, jointly and severally, by these presents. Sealed with our seals and ..., 19...

dated the....day of....

Whereas the above bounden

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duly elected and returned to the court of quarter sessions of

the peace of the county of....

of the township of.. .. ..

as collector of taxes

in the said county, for the

ensuing year, and has been duly qualified according to law : Now, the condition of this obligation is such, that if the said..... ..shall and do well and truly collect and pay over, or account for, according to law, the whole amount of taxes charged and assessed in the duplicates which shall be delivered to him, and faithfully discharge the duties appertaining to the office of collector of taxes, according to

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