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