Form No. 6.
COOPERATIVE EXTENSION WORK IN AGRICULTURE AND
HOME ECONOMICS.
UNITED STATES DEPARTMENT OF AGRICULTURE,
STATES RELATIONS SERVICE.
OFFICE OF
EXTENSION WORK NORTH AND WEST.
STATE AGRICULTURAL COLLEGES AND U. S. DEPARTMENT OF AGRICULTURE COOPERATING.
ANNUAL REPORT OF COUNTY AGENT.
DUE DECEMBER 1, 1916.
State, ...
Report of ~
, County Agent.
From , 1916, to December 1, 1916.
Service.)
(If agent has not been employed entiro year, indicate exact period. Agents resigning during year should make out this report before quilting tho
Approved:
Date,
£L-
President or Secretary of Farm Bureau
Approved and forwarded by:
Date, -
State County Agent Leader.
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