### ..."',.".,

### ... ,

### .............. ,', .... ' ,-,

### ...

## _._.. ".". SID-521 REV. 12-88 

### PUBLICATIONS AUTHORIZATION AND INVOICE 

# 146494 PUBLICATIONS AUTHORIZATION

. TO: (NAM'E ANO" ADDRESS OF NEWSPAPER) j FEDERAL Ip. NO./SOC. SEC. NO. FROM; (NAME AND ADDRESS OF AGENCY) • AGENCY TELEPHONE NO.


### , The Timas Herald**4iO~jarkey** 

### Street , 

# : ..**gg:-7?J!3Jl.~~** 

# .........**Yvettel1.Hou~e ~**  

# ll[-;1!3."Zr:9{19.5,
..._.'**400M1!J:;ket~;t.** 

### ,,' ";, 

### Nd#isi:o{;n., PA 11)401

HEREWITH'!'S ENCLOSED CO .'FOR PuaUCATION OF ADVERTISEMENT FOR PROPOSALS TO



# . 0 "**E~~~OY.** 

# 0**PU~CHASE** 

# 0 CONTRACT PUBLISH ADVERTISEMENT (NO. OF T1MES) MAXIMUM NO. OF LINES
OATES OF INSERTION 

# o SELL' DATE 

### llur'eat,tof ;AirQu.ality , l)artisburg'. 

### PA 17105 l"YPEO'F AO

ORDER NO
You, as vendor, are authorized to publish this advertisement in your newspaper, subject to the terms of this order, as " follows: Advertisement to be published in regular advertising columns, no position specified; caption of two lines and signature ,; ,to be in capitalsanli'Sl;Ibi!lct,matter 

### anp tit!,e of.$flicento beset"solid in'lYpe regularly used bY;"l'oubneilits"a"er for public**(~gal)** y

notice advertising; charge to be made at the rate charged to and raid by commercial advertisers for matter similarly set and occupying similar space; advertisement to be run in the editions specified above, Vendor agrees that. in the performance of any contract awarded to it hereunder, said vendor will not discriminate against any employe or other persons on account of race, color, sex, religious creed, ancestry, age or national origin and that the Commonwealth, upon receipt of satisfactory evidence of such discrimination, shall have the rightto cancel said contract Return this copy at once ifyou will not acceptthis advertisement under the terms set forth, Proof of advertising in the form of a tearsheet must be included on Parts 1, 2 & 3, Return original and two copies (signed by the editor or publisher) to Agency listed above, Part 

### 1 must be notarized, Part 

### 4 is yours, Commonwealth to be billed only..for actual number of printed lines published,



### . '.' , .. ' " ' , . . .



### .**''';:CqOO~T;:'** 

### :. ' 'YEAR, l.DG epOE' '

DATE OF INSERTION ACTUAL NO, OF PRINTED LINES COST PER UNE TOTAL AMOUNT 1stAd 2nd Ad 3rdAd (/U $. 

### PASTE TEARSHEET HERE C ,onwal,**?f;l?~?** ylv ,pia County of 

### ,7\ 

## HI/"': '

## Befo, e me, subscriber, a Notary

## PUbli~~,\~**an,~d** who be duly sworn, dot ep9S.e a d ay that 

### I'I1(IS',**~,~':.J."Ji.,.Ull"';;'~P:;:~:""---tf'f3~"I;tr~~7iT:\rl'~~sr::"J\7'i~** the I ' V\ (J "" 

## '7'0< \\ ' a general

### ne~spaper published at that the dvertisement,ofw iChtE)arsheet is attached hereto, was published in the regular advertising co umhs of said newspaper, in the ,editions of**said~new'spaper,** in all respects as, ordered and invoiced above; and that the Commonwealth is not charged therefor at a rate highefthanis charged any ordinary ,commercial advertiser for a similar amount of matter occupying similar space and set in a similar**ma~ner,** in said newspaper, '



## '-'-' 2. COMPTROLLER**N~I~'V** Public**~.'~** ·'
......**'?l)m~\~l** Cl'.Hmty -., -:4 2011NORRISTOWN DAILY HERALD FOUNDED 1799 

## ''An American Newspaper Since 1799" NORRlSTOWN TlMES FOUNDED 1881



## - No ....... Term20
..... . PROOF OFPUBUCATION NOTICEIN THE TIMES HERALD 

## Under Act No. 587, 

## Approved May 16,1929, P.L. 1784 As 

## Amended byAct. No. 520 

## ofJuly 5,1947 

## STATEOFPENNSYLVANIA ) COUNTY OF MONTGOMERY ) SS.



## . :. 

## Shelley Meenan. Publisher ofTIlE TIMES HERALD, ofthe 

# cOunty and State aforesaid, being duly sworn. deposes and says TIlE TIMES HERALD, a newspaper ofgeneral circulation, published at 

## Markley, Ann, 

## and Airy 

## Streets, Borough of Norristown, county and state aforesaid, w.as established January I, 1923, 

## since which date TIlE TIMES HERALD**~** 

## been reg¢arly issued in said county, and that the printed notice of pUblication attsched hereto, is 

## exactly the same as was 

## printed and published in the regular edition and issues ofTIlE TIMES HERALD on the following dates: Viz.•.•.................••..•......................•.................•.....••.........•...............



## .•. . . . . . .• .. .•. . . . .**~** 

## ................................................'" ................•....and the

# ~~**~~~ o~**  

# .... - _ _ _ .............. .............. 'D
........A.D. 20•.•....... Affiant 

### further- deposes that she is 

### an officer-duly 

### aufuorized by

### THE TIMES HERALD PUBUSIDNG COMPANY, INC. a corporation, Publisher of THE TIMES HERALD, a newspaper ofgeneral circulation 

### to 

### veruy the foregoing statement under oath, and affiant 

### is 

### not interested in the subject matter ofthe aforesaid 

### notice ofadvertisement, and that all allegations in the foregoing 

### statements as 

### to time, place and cbmacter of publication are 

### true.

NQTAPJP.!L SEi\L Siil>,NNON lMi. §TOT!'. Notm'y p" I Norrisiovm \Fk.EO. MOlrnt:g!!lme;ry Co-unly**"'6~.** ,..___ •.**~_** •• _ r-__L.
__ A ••_ ..,111**~n1lll**