## STo:Ma y, 

## 6,**2009~~** 

## 3:25PM No, 7192«0 p, 

# 111 PUBLICATIONS AUTHORIZATION AND INVOICE 

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# 145496

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.. TO. (NAME**Ai:-i:::-:;,c"t!~,.$** OF**NE\"SPAF'E(~)** I**F'€DS~Al..l.O** NOJSOC ::::ec NO FROM: iNAME AN!:! AOORE$$ 0." AGI:NCYJ •**ACENCV;tlEf'KON~** NO.**1);-j.l~d~1i'A"iia Irhjui~i~H"/Jl'Utt..~**  

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### 17105**HEAEW"IT~'** iiteNC'LosZ£1 COpy l'OR PUEIL1CATlOt-l OF AO",EAr;:::cMI".,NT I'O-'l PRoP05Jil5;7-::",' T:::O:-------'-----.. 

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## 1 Februar:r 4. 2009**-------+:-~:_c_::=-::.",,,<-,--,--;----+---:--------** OA,r.:S OF INSER"CN**gICNA~t.m** . .r: FOR AGENCY

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_____ _ 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 capitals and subject maner and title of officer Jo be 

### sal solid in !:iPe**reg!,!l~.dy.** used bY_Y.Qur newSRa,R.Gr for Rublic (!§gal) notice**advertisi~g:** charge to 

### be made at the rate charged to and paid 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, se •• religious creed, ancestry, age or national origin and that the Commonwealth. upon receipt of satisfactory evidence of such discrimination. shall have the right to cancel said contract. Return this copy 

### at once 

### if you will not acceptthis advertisement underthe terms set forth. Proof of advertising in the form of a tearsheet must be included on Parts 1. 2 

### 8- 3. Return original and two copies (signed by the editor 0' publisher) to Agency listed above. Part 1**m~~.** be notarized. Part 4 is yours, Commonwealth to be billed only for actual number of printed lines published.


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### My commission expires "This "ffida"it must be made by the Owner. Publisher. '

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