October 1953 | Mapleton, Maine
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or CT TRSIEGE Wa SG UINU
| 2. LOCATION
| 4. NUMBER OF OBJECTS
|
& |
1 | |
¢ i —— — LE — |
r PHOTOS
E | s |
| { HM No |
= | 9% PHYSICAL EVIDENCE
\ i 7 Yes |
“TD sep 63 0-329 (TDE)
Previous editions of this form may be’ used.
%ss.. (One witness)