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.
State, County,
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.)
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Approved:
Date,
President or Secretary of Farm Bureau.
Approved and forwarded by:
Date,
State County Agent Leader.
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