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[ED. FORM, NO. 4.]
MONTHLY REPORT
OF
Sub=Assistant Commissioner (or Agent),
District of 4
State of .................
................., 1868.

Forwarded ............. , 1868.
Recieved, S.D. ..........., 1868.

Transcription Notes:
Cannot tell if it is H or 4. Please finish the transcription denoted as [[?]].