Form No. 6.
COOPERATIVE EXTENSION WORK IN AGRICULTURE AND HOME ECONOMICS.
U. S. DEPARTMENT OF AGRICULTURE STATES RELATIONS SERVICE, OFFICE OF
AND STATE AGRICULTURAL COLLEGES EXTENSION WORK, NORTH AND WEST,
^COOPERATING. WASHINGTON, D. C.
ANNUAL REPORT OF' COUNTY AGENT.
DUE DECEMBER 1, 1917.
Report of , County Agent.
From _^X.J.(n____/_<i__/A., to December 1, 1917.
(If agent has not been employed entire year, indicate exact period. Agents resigning during year should make out this report before quitting the Service.)
President or Secretary of Farm Bureau.
Approved and forwarded by:
State County Agent Leader.