,, __ 

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.ali ty , 

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 if you 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,of w 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 2011 
NORRISTOWN DAILY HERALD 

FOUNDED 1799 

''An American Newspaper Since 1799" NORRlSTOWN TlMES 

FOUNDED 1881 

- No ....... Term20 ..... . 

PROOF OF PUBUCATION NOTICE IN THE TIMES HERALD 

Under Act No. 587, Approved May 16,1929, P.L. 1784 

As Amended by Act. No. 520 of July 5,1947 

STATEOFPENNSYLVANIA ) 

COUNTY OF MONTGOMERY ) 

SS. . :. 

Shelley Meenan. Publisher of TIlE TIMES HERALD, of the cOunty and State aforesaid, 

being duly sworn. deposes and says TIlE TIMES HERALD, a newspaper of general 

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 of TIlE TIMES HERALD on the following dates: 

Viz .•.•.................••..•......................•.................•.....••.........•............... 

. • . . . . . . .• .. . • . . . . . ~ ................................................ '" ................•... .and the 

.... ~~ - _ _ _ .............. ~~~ .............. 'D ........ A.D. 20 •.•....... 

o~ 

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 of general circulation to veruy the 

foregoing statement under oath, and affiant is not 

interested in the subject matter of the aforesaid 

notice of advertisement, 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