1. TYPE OF DOCUMENT (check one)
| ___ Newspaper | ___ Map | ___ Advertisement |
| ___ Letter | ___ Telegram | ___ Congressional record |
| ___ Patent | ___ Press release | ___ Census report |
| ___ Memorandum | ___ Report | ___ Other |
2. UNIQUE PHYSICAL QUALITIES OF DOCUMENT (check one or more)
| ___ Interesting letterhead | ___ Notations |
| ___ Handwritten | ___ “RECEIVED” stamp |
| ___ Typed | ___ Other |
| ___ Seals |
3. DATE(S) OF DOCUMENT___________________________________________________
4. AUTHOR (OR CREATOR) __________________________________________________
5. AUDIENCE DOCUMENT WAS WRITTEN FOR ___________________________________
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6. DOCUMENT INFORMATION (There are many possible ways to answer A-E.)
A. List three things the author said that are important.
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B. Why was this document written?
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C. What evidence in the document helps you know why it was written? Quote from the document.
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D. List two things the document tells you about life in the United States at the time it was written.
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E. Write a question to the author that is unanswered by the document.
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