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Printed cover/title page for a « School Census of children — 1 to 17 years of age, inclusive, whose parents reside in the [School Municipality / Parish / County], » issued by the Department of Education, Province of Quebec. The form bears the printed date line « September 19__ » with the year left blank, and blank ruled lines for School Municipality, Parish, and County (unfilled in this copy). The Quebec coat of arms and motto « Je me souviens » appear beneath the header. A printed note states the census report is the property of the school municipality, must be made available to officials, and should be preserved in the school board’s archives. The paper shows heavy overall staining and soiling, with visible handprint-like smudges across the surface.