This was my experience working as reporter on a rural weekly in the late 1970s. We had a photo typesetter than produced column-width copy, screen-printed photos, used clip-art for ads, then laid it all out on paper the size of the printed page with and photographed the pages on a process camera to go for printing.
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We shared our office with an old-school print shot with a genuine Linotype hot-metal typesetting machine, so in addition to the constant sound of my manual Olympia typewriter, my days were filled with the regular klunk of freshly-cast slugs dropping from the machine.