4450044568410/07COMMONWEALTHOFPENNSYLVANIAIWVO(C5NO.STD—521REV.12-88 PUBLICATIONS AUTHORIZATION AND INVOICE

PUBLICATIONS AUTHORIZATION (To be completed by agency)TO;(NAMEANDADDNESSOFNE.W5PAPER)•FEDESALLp..NQiSPC.SE.NO.FROM:(NAMEANDADDRESSOFAGENCY)AGENCYTELEPHONENO.

tncjcs co. ,ourier Times• 23—0433913 Yvette N. House, 717—787—9495

Attn: ad- Dept. of EnviroiI’mènta-I-Pro-tertj-n

8400 N. Bristo1Pike 400 Market St., 12th Floor

Levittown, PA 19057 Harrisburg, PA 17105HEREWITHISENCLOSEDCOPYFORPUBLICATiONOFADVERTISEMENTFORPROPOSALSTOTYPEOFAD‘c”k...EMPLOYPURCHASE ElCONTRACT5ELLCLASSIFIEDLEGALNOTICE“‘9.ORDERNO.

f5ecember 10, 2009DA’rOFINSERJ1ON 1

ecem er 1, 2009, Fridays editionSIGNAfTRAGENCY. 

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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 L4 in,capitals,arid subject master ancktitle of officer..to le”set. solid fri ypergUlarIy’usbyyur tievspaper for pàblic (legal)’

notice advertising; 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,

sex,

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 accept this advertisement underthe 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.

My commission expiresThisaffidavitmustbemadebytheOwner,Publisher,orthedesignatedagentoftheownerorpublisher. 152101PUBUSHADVERTISEMET(NO.OFTIMES)MAXIMUMNO.OFLINES,.I’9....:ACCOUNTFUNDDERTAPPYEARLDGORGCOSTFUNCTIONOAMOUNTCODE r,

CC I’- 3’Iotlo

6L’

VOlCE(Thbe completed by publisher):DATEOFINSERTIONACTUALNOOFPRINTEDUNESCOSTPERLINETOTALAMOUNT

istAd (oOI:1Z

2ndAd or’ n€

3rdAd.“,.. 1;d..., .k(’. GRANDTOTAkI..... PASTETEARSHEET HERE

Con.ponweatth of Pennsylvania

County of ttJ C. V- ...

Before me, the subscriber, a Notary Public in and for 1 saicl Coun,.ty, personally.came L_Ol_1(‘It,

who being d.ulysorn,doth depose ançl.-saythat he is” L.’I I

‘)(,._O,:IC.

the

L Ci’_,‘“'‘

a general newspaper published at I_.QV1LtDWI\(‘

that

the advertisement, of which tearsheet is attached hereto, was published in the regular advertising columns of said newspaper,

in the editions of said newspaper, in all respects as ordered and invoiced above; and that the Commonwealth is not charged

therefor at a rate higher than is charged any ordinary commercial advertiser for a similar amount of matter occupying similar space

and set in a similar manner, in said newspaper.

day of, Sworn‘. >

‘,,J \X.-tI. I’iiNötarlâ[SeajKarrTullytowriBoro,BucksCountyMyCommissionExpiresFeb.19,2013 I 20SIGNATUREOFAFFIANTiIflPiD