Sutton Elementary School
Nine-Week Report on Lost Books
2007-2008
Teacher ____________________________________________
Grading Period (circle one):
1st
2nd
3rd
4th
Oct 1
Dec 13
Mar 10
April 15
Check one of the following; complete form; return to the assistant
principal’s box by the due date, or at any time a book is missing or lost.
All textbooks are accounted for. None are lost at this time.
Textbooks below have been lost by students listed.
Student
Textbook Title
Serial #
Amt Due
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Teacher’s Signature / Date