LASER IMAGING SYSTEMS, INC. (717) 266-1700 106466 

J' ,JNWEALTH OF PENNSYLVANIA 

�5�n REV. 12·88 

4500445684 10/07 

INVOICEN(). 

PUBt'CATIONS\AUTHORIZATION AND INVOICE 152055 

. PUBLICATIONS AUTHORIZATION 

TO: (NAME AND.ADDRESS OF NEWSPAPER) • FEDERAl. Lb. NO,/SOC. �EC. NO. 

Erie Times-News : 25-0839114 

Attn: Shannon Gilcrist -

205 West 12th Street 

Erie, PA 16534 

Leg a 1 Ad s .- - - - - - - - - - - - -, -, . .,. - - - - - -

HEREWITH IS ENCLOSED COPY FOR PU8UCATION OF ADVERTISEMENT 1"0'" PROP05AL.5 TO 

o EMPLOY 0 PURCHASE 0 CONTRAC.T 

MAXIMUM NO. OF LINES 

One time 

OATES OF INSERTION 

June 8, 2012 

o SELL 

FROM: (NAME MilD AOORE55 bF' AGENCY) • AGENCYTElEPHONE NO. 

t 

J. Van Skike �?J}-.

???_-:4'Jf.

)� ... --

PA DEP/BAQ 

400 Market Street 

Harrisburg, PA 17105-8468 

iYPE OFAD 

o CLASSIFIED a LEGAL NOTICE 

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, riO position specified; caption of two fines and signature 

to be in capitals and subject matter and title of officer. to �e set solid in :wpe regularly used bY�y'our newsm!p-er for �ublic (!@gaf) 

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 agai nst any employe or other persons on account of race, color, 

sext 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 under the terms 

set forth. 

Proof of advertising in the form of a tearsheetmust 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. 

ACCOUNT 

CODe: 

FUND DEPT APP YEAR LDG ORG COST FUNCTION 

DATE OF INSERTION ACTUAL NO. 01" PRINTED UNES 

1stAd 

2nd Ad 

3rdAd 

Common�afth of Pen nsylvania 

County of t: If e.

 

Before me, the subscriber, a Notary Public in and 

who bein,q.d ly s�.

n, doth debjse and say that he is* _'_, 

the I:;

 n e.

 i, Me.$. eW S a genen 

that the advertisement. of which tearsheet is attached, here 

in the editions of said newspaper, in all respects as ord 

therefor at a rate higher than is charged any ordinary com 

and set in a similar manner, in said newspaper. 

day�._�-=��� ______ �� ____________ __ 

OBJ AMOUNT 

COST PER LINE TOTAL AMOUNT 

3.ot> L.} �O 

I . 

:co 

, �. 

81 OD 

lar advertising columns of said newspaper, 

d that the Commonwealth is not charged 

amount of matter occupying similar space 
4500445684 10/07 

If PENNS¥LVANIA 

REV, 12-88 

,PUBLICATIONS:'·AUTHORIZATION AND INV01CE 

,dCATfONS AUTHORIZATION (To be completed by agency)! 

INVOlCENO. 

1.52057 

. (NAMi Ali" ADDRESS OF NEWSPAPe�l 

�arr190urg Patriot-Hews 

t FEDERAl.!.D. NO,ISOC, FROM: (NAME AND AOORESS OF AGENCY) • AGENC¥TElEPIiONE NO, $EC. NO. 

Attn: Pina - Legal . .Ads 

2020Techuology Parkway 

Suite 300 

Meehan1esbu�g, PA.170SO 

Co. :. ���:������ -. ----- -- -�A 1� Sk1ke ��� ?:-:��,?:-�-��?- - ' . �. 

400 Barket StTeet 

�arrisbar8� PA 23-1304402 

, 

HEREWITH IS ENCLOSED COPY FOR puaUCATION OF ADVERTISEMENT FOR PROPOSALS TO 

o EMPLOY 0 PURCHASE' 0 CONTRAC.T 

' U SELl. I TYPEOFAO 

� CLASSIFlED 0 LEGAL NOTICE 

PUBUSH ADVERTISEMENT (NO. OF TIMES) 

Onfa Tim.e Only 

OATES OF IN SERTION 

June 8. 2012 

I MAXIMUM NO. OF UNES DII,TE 

SIG E FOR AGEN)�' ' : 

il, .. :{ r.)"'f": . .. J ( 

I OROEI'l: NO. 

You, as vendor! are authorized to publish this advertisem.ent in your newspaper, subject to the terms of this order, as 

follows: Advertisement to be published in regular advertising col.umns, no position specified; caption of two lines and signature 

to be in capitals and subject matter and title of officer. to be set solid in 1Ype regularly' used by_'tour newsm!Qer for Rublic (�gal) 

notice advertising; charge to be made at the rate charged to and paId by commercial advertisers .for matter similarly set and 

occupying similar space; advertisemertt to be run in the editions specified above. Vendor agrees thatt 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, cofor, 

sex, religious creed, ancestry. age or national origin and that the Commonwealth, upon receipt of satisfactory evidence of such 

discrimination, shaH have the right to cancel said contract. Return this copy at once if you will n9t accept this advertisement underthe terms 

set forth. 

Proof of advertisi ng in the form of a tearsheet must be incl uded on Parts 1, 2 & 3. Retu rn 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. 

ACCOUNT 

CODE 

FUND DEPT APP YEAR LOG ORG COST FUNCTION 08J 

DATE OF" INSERTION ACTUAL NO. 01" PRINTED UNES COS, PER LINE 

1st Ad 

2nd Ad 

3rdAd 

GRAND TOTAL-" 

PASTE TEARSHEET HERE 

Commonwealth of Penrisylvania 

ounty of 1 

Before me, the subscri�er, a Notary Public in and for said County, personally came 

·ho being duly sworn, doth deppse and say that he is* 

, AMOUNT 

TOTAL. AMOUNT 

Ie .

.... ,: a general newspaper published at . 

. 

'at the advertisement, of which tearsheet is attached· hereto, was pubJished in the regular advertising columns of said newspaper, 

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

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

Id set in a similar manner, in said newspaper. 

Sworn and subscribed before me this 

Iy_, __

 20 ____ __ 

SIGNATURE OF AFFIANT 

NOTARY PUBLIC 

My commission expires 

lis affidavit must be made by the Owner, Publisher, or the designated agent of the owner or publisher. 
COMI\10NWEAlTH OF PENNSYLVANIA 

STD-S:n REV. '12-88 

4bUU4<1-000,+ 'Vivo 

INVOIce NO. 

\. .' ,:I 

, 152059 PUS'LICAT'ONS>·AUTHORJZATION AND INVO'I.ce 

PUBLICATIONS AUTHORIZATION 

TO! (NAME AND ADDRESS OF' NEWSPAPER) 

Reading Eagle 

Attn: Legal A ds ' 

PO Box 582 

. 

Reading, PA 19603-0582 

· 

• fEPERAL I.D. NO./SOC. lSEC. NO. 

· 

:.;l!t-:QQ 1 995.0_ � " _______ _ 

HEREWITH 15 ENCLOSED COPY FOR f'UaUCATION OF AOVERTISE;MENT FO� PROPOSALS TO 

o EMPLOY o PURCHASE o CONTRACT o SELL 

puaUSH AOVERTISI:MENT (NO. O"'11ME:S) MAXIMUM NO. OF LINES DATE 

One time only 

OATES OF INSERTION 

June 8, 2012 

FROM: (NAME AND AOORESS OF AGENCY) : AGENCYTELEPHONE NO. 

J. Van Skike 

PA DEP/BA Q 

, 

400 Market St. 

Middletown, PA 17105 

TYPEOFAD 

o ct.SSIFlEO @ LEGAL NOTICE 

ORCER NO. 

You, as vendorl are authorized to publish this advertisement in your newspaper, subject to the terms of this order1 as 

follows: Advertisement to be published in regular advertising columns, no position specified; caption of two Hnes and signature 

to be in capitals and subject matter and title of officer. to be 'set solid in type regularly used by_your newsmmer for Qublic (�gaf) 

notice advertising; charge to be made at the rate charged to and paid by commercial advertisers for matter similarly set and 

occupying similar space; advertiseme�t to be run in the editions specified above. Vendor agrees that in the performance of any 

contract awarded to it hereunderr said vendor will not discriminate against any employe or other persons on account of race, COlOf, 

sex, religious creed1 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. Retum this copy at once if you will not accept this 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 

AM 

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 Jines published. 

ACCOUNT 

CODE 

FUND DEPT APP YEAR LOG ORG COST FUNCTION OeJ AMOUNT 

DATE OF INSERTION ACTUAL NO. OF PRINTEo UNES COST PER LINe: TOTAL AMOUNT 

, 

1stAd 6/8/12 231 1 .. 65 381.;15 

2nd Ad 

3rdAd Bold Charge 

GRAND TOTAl-. 

PASTE TEARSHEET HERE 

Commonwealth of Pennsylvania 

:ounty of __ ��� ____ ___ _ 

Before me, the subscriber, a Notary Public in and for said County, personally came Lyn

 Scbittler 

N��i�dulyswm�d�hd�o�a��yili��i� _ ___ t __ S_e_c_r_e_t_a_q� _________________ � 

:he Reading Eagle a general newspaper published at �_-=R d::

:;

n=.:g1-

__________ _ 

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

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

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

md set in a similar manner, in said newspaper. 

jayaf 

SW �d subscribed before me this 

U 

20 Ir � � --m . j fliJ!J!1Jf

{I/f) 

NOTARY PUBLIC 

My commission expires 

, NOTAR"Al SEAl . 

, ,

; 

This affidavit must be made by the Owner, Publisher, or the designated agent of the owner or PUblisheJ tH�RESA M SA�SAMAN,. NOT�RY PUBLle 

MY COMMISSION EXPIRFf.: nm OQ·-.. ?�'A 
//1 (' � � 

l • � t:L 

AoNWEAlTH OF PENNSYLVANIA 

,.-6;2'1 REV. '1 2�Bg 

LASER IMAGING SYSTEMS, INC. (717) 266-1700 106486 

4500445684 10107 

INVOICE NO. 

PUB'l-lCATIONS:·

·AUTHORIZATION AND I NVO'ICE' 152060 

PUBLICATIONS AUTHOR'IZATION ;-r 3b:;

l.Q 

, . 

• FEDERAL 1.0. NO,/SOC. pEC. NO. FROM: (NAME AND.AODRESS bF'AGENCV) '.AGENCYTElEPHONE NO, 

. 

T.Q: (NAME' AND.ADDRESS OF NEWSPAPER) 

Scr�nton Times-Tribune 

Attn: Sharon Venturi -

149 Penn Avenue 

Legal Ads 

: 2i�-0676050 

t ___ .... ' .. ___ .. __ .. __ , .. _ .. _ .. __ .. J. Van Skike � .l.t 1:-7.8.7.:-:4325. � ... 

,Scranton, PA 18503 

HEREWITH IS ENCLOSED COpy FOR PUBUCA110N OF ADVERTISE;MENT FO� PROPOSALS ,-0, 

o EMPL.OY 0 PURCHASE 0 CONTRAC.t" 

PUBUSH ADVERTISEMENT (NO. OF TIMES) MAXIMUM NO. OF LINES 

One time only 

OATES OF INSERTION 

June 8, 2012 

[J SELL 

DATE 

400 Market Street 

Harrisburg, PA 17105 

Attn: PA :qEP /BAQ 

TVPE OFAO 

o CLASSIFIED ,[] LEGAL NOTICE 

ORDER NO. 

You, as vendort are authorized to publish this advertisement ;n your newspa�e�, 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 matter and title of officer. to be set solid in !ype regularly used by_y'ou �;�� �lG .. J�al) 

notice .�dve�tis}ng; charge to b� made at the rat� charged

, 

�o and p�,i9 by ·commercial advertiser � :r�auofA:�Q���jW��,�.a3��ement, 8u:" 

occupying similar sp�ce; advertlsem

,

ent to be r�n In th� �9It�ons spe�lfled above. VendoLagrees t '�S�a��%/�J�7105-84681 'O'. ::��/I��� 

contract awarded to It hereunder, said vendor will not diSCriminate agamst any employe or ,ot�e'r per I fr

a

structur�" ina�he ��gr:�cr "Lead In- r, 

s�X, :el�gio�s creed, ancestry, age or natio'!al origin and that �he Common�ealth, �pon rece.ipt

. 

o�i P��on$:witha'" 

'

.' "';�', .. ,,: me. 

'

. !: 

dlscn mlnatlon, shall have the fig ht to cancel said contract. Retu rn thiS copy at once If you will not �ccept thl:.

, 

��

eQ,q h� 'he�ijg��:���'l�q�i�' �s���, � 

set forth. 

, . " ' . '.tjO��fu· ,'p:��!ce'o �thef ,accomrnod",_ 

, . 

, ,.0,. 'should cont�clpa�a lJl .

. ttle" proceedin 

.

' P�oof of adve�i

"ir.Q!,(:!������ atg17} :78� d 

by the editor or publrsher) to Agency listed above. Part 1 must be notarized. Part 4 IS yours. , ' ,"

-,,-,.,cE.,,��V 

Commonwealth to be billed only for actual number of printed lines published. 

ACCOUNT 

CODE 

1stAd 

2nd Ad 

3rdAd 

FUND DEPT APP YEAR 

DATE OF INSERTION 

1cL <6 

LOG ORG COST FUNCTION OBJ 

ACTUAL NO. OF PRINTED UNES COST PER LINE 

llLR y�S-SGRAND TOTAL ..

 

PASTE TEARSHE'ET HERE ��, 

AMOUNT 

TOTAL AMOUNT 

53;Z 

co�mon ealth of Pennsylvania 

Cou nty of La ( t:,.11 WtLVI OE1L 

. A _ . � A " 

:)f 0 

Before me, the subscriber, a Notary Public in and for said County, per�onally came· . ep"ld 

who being duly sworn, ,9oth depose and say that he i$* Llc.

c mJY\ TI0fr' 'C,)£.Kk.;. . 

, 

the �.-fr3 7jfh-PO �Tr, bLJY'\.lL ' a general newspape(published at )l . .tct pefJl"1 4v-e .. �b ( ;:

4IFSO..: 

that the advertisement, of which tearsheet is attached.hereto, was published in the regular advertising �olumns pf 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 thari is char'ged any ordinary commercial advertiser for a similar amount of matter occupying similar space 

and set in a similar manner, in said newspaper. 

Sworn and subscribed before me' this 

day of � 20 )d-., 
j-., 

..10NWEALTH OF PENNSYLVANIA 

,iJ-52', REV. '12-88 

LASER IMAGING SYSTEMS, iNC. (717) 266·1700 106486 

4500445684 10/07 

INVOICi NO. 

PUB:.L1CATIONS:·.AUTHORIZATION AND :INVOjCE' 

. PUBLICATIONS AUTHORIZATION 

T.Q: (NAM.E AND ADDRESS Of' NEWSPAPER) : FEDERAL 1.0. NO./SOC. SEC. NO, FROM: (NAME AND ADDRESS bF'AGENCY) ',AGENCY TELEPHONE NO. 

I 

Wilkes-Barre Time's Leader :75-3218377 . 

,- .. __ .. _ .. - - - - - ""l .... ":" - - - - - .. 

J � 'Van Skike � 7Jl-:?:�?:-A�f,5*. _ . _ _ 

Attn: Marti Peznowski - Legal Ads 

15 North Main Stree't 

PA DEP/BAQ 

400'Market Street 

Wilkes-Barre A 1 - 2 Harrisburg, PA 17205 

HEREWITH IS ENCu)SED COPY FOR PUBUCATION OF ADVERTISEMENT FOR PROPOSALS TO 

o EMPI.OY 0 PURCHASE 0 CONTRACt 

PUBUSH ADVER11SEMENT (NO, OF TIMES) 

One time only 

OATES OF INSERTION 

June 8, 2012 

MAXIMUM NO. OF LiNES 

TYPE'OFAD 

o SEL.L. o CLASSIFIED '� LEGALN011CE 

You, as vendor, are authorized to publish this advertisement in YO,ur new�paper, subject to the terms of this ordet, 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 matter and title of officer. to be set solid in type regularly. used by_y'our news�Qer for �ublic (!ggaf) 

notice advertising; charge to be made at the rate charged to and paid by commercial a<:

vertisers for matter similarly set and 

occupying similar space; adverti�ement 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, shal l have the right to caricel sa id contract. Return' th is copy at once if you will not accept this advertisement under the terms 

set forth. . 

" . 

Pr�of of adve.rtising 

by the 'editor or pubUsher) to Agency listed above. Part 1 must be notarized. Part 4 is yours. 

Commonwealth to be billed only for actual number of"print�d lines pu�lished . 

ACCOUNT 

CODE 

1stAd 

2nd Ad 

3rdAd 

FUND .. DEPT APP XEAR LOG 

,ORG , COST FUNCTION OBJ AMOUNT 

TOTAL AMOUNT 

GRAND TOTAL .. 

---------- --

!I,"'

.

. �,-:

.: ������__:_

�,c�7�7r.-

 

1·-'·-�·'"·· ',." 

"

,

" 

.

: 

. . 

, 

. 

,

..

.

.

. 

. 

.' '

.

""

. 

,

'

: 

, i, 787-97�2 or;

' 

'

J'.

' 

, ' 

, 

' 

. )' time. 

" . ,.s rose@pa. 

' 

. , -------1'----------. --

-, -, 

, I! ;i Will be

ers?ry� do' , 

" 

C onwea t') of s lvanJ� '

jl I! .1: nes 

.

. ���:dJ� 

.

. ,stffy.as , 

County 0 

' l.;. 'C.Jl-h <=

' 'I i .;. �� 

�l;!d.'s�ou�P ," " 

,

: 

, 

' 

.

' 'J l . , 

, Before e, t e subscriber, a Not !: :

,

' w,.' "

, -.;'::,:-,:,.":," :�,!

�nt,:��t'1�.' 

W dul n,_d9tl'\depo.,se and )

' 'j te

;���:�;�etits �a��sci:'b� , , 

the t e' ee.

V 

! J �

eVlslon for the �6��d,' in,fr�uctu . 

I ep 

e 

d NAAQS 1h that the advertisement, of which tearsh I ) no 'ate 1r; 

cei'l( 

in the editions of said newspaper, in ! �f:�� ��OUld be :sem2?��eWr:en

.

com_ 

therefor at a rate higher than is charged ! anagem���' Divis 

AI� Ae;:�u

n of 

r advertising columns of said newspaper, 

that the, Commonwealth is not charged 

amount of matter occupying similar space 

and set in a similar manner, in said news pap", • ";-1l0XB "�""�::�!!

'!

A!,:,-,!�al-"'-',-�' � 

dav of 

swo:n :7t;J

�ribed

_ 

befor� me th�S _!!�o2

 � £? � .

.. � 
.If 'PENNSYLVANIA 

REV. 12-88 

4500445684 10/07 

INVOICENQ. 

PU8lICATION.s:�A.UTHORIZAT'ON AND INVO'ICE 

.... LlCATIONS AutHORIZATION To be .completed b a enc !: 

152063 

, 

. : (NAME AND ADDRESS OF NEWSPAPER) • FEOERAI..1.0. NO./SOC. sI!!C. NO, 

The Pittsburgh Tribune Review 

622 Calvin Hill Driye 

Greensburg, PA 15601 

, 

FROM: (NAME AND ADDRESS bF'AGENCYI • ,AGENCY TSlEPHONE NO • 

. 

4- ... - ... ... ... .. ... ... ... .. .... "'" ... H' _ _ """ _ .... ... _ J. Van Skik e � . 7.17.-:: 78.7 ...... 4.a2-5 . . _ . 

400 Mar k et Street 

Attn: Joanne Callahane, Legal 

Harrisburg, PA 17105-8468 

HEREWITH IS ENCLOSED COpy FOR PUBLICATION or- ADVERTISI:;MENT FO� PROPOSALS TO 

o EMPLOV 0 PURCHASE 0 CONTRACT 

PUBLISH ADVERTISEMENT (NO. O/':11 M£S) MAICIMUM NO. OF LINES 

One time only 

DATES OF INSERTION 

June 8, 2012 

TYPE OFAO 

o SELL o CLASSIFIED [iJ LEGAL NOTlCE 

OATE OROtmNO. 

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 fines and signature to be in capitals and subject matter and title of of icer. to be set solid in type regularly' used by_y.our newsJ:2Bp-er for public (�gar) notice ?dve�tis.ing; charge to b� made at �he rat� charge�, to and pai9 by commercial. ad.�ertiser$. for m����, �lmiJ51&�Vt.l �Cietofln9 afscrfm',natfOn, �halT have 1He'rig fit to cancel said contract. Hetum ttl IS copy aT once IT you Will nOl aGG�fJllllI::> tlUVI::Ilt 

set forth. 

. . (

. d Proof of advertising in the form of a tearsheet must be included 0a:- Parts 1 ,2 €! 3. Return origmal and two copies sIgna 

by the editor or publisher) to Agency fisted above. Part 1 must be notarized. Part 4 IS, yours. 

Commonwealth to be billed only for actual number of printed lines published. 

ACCOUNT 

CODE 

1st Ad 

2nd Ad 

3rdAd 

com ofP 1 

:ou nty of . t14 

YEAR 

PATE OF INSERTION 

LOG ORG COST FUNCTION OBJ 

ACTlJAL NO. OF PRINTEO UNES COST FER LINE 

GR AND TOTAL-iI> 

AMOUNT 

TOTAL AMOUNT 

Before me, the subsci 

Nho being duly s�oth d 

:he �. � 

:hat the advertisement, of w� 

n the editions of said new� 

:herefor at a rate higher tha

.

n 

md set in a similar manner, If 

jvertising col mns of said newspaper, 

It the Commonwealth is not charged 

unt of matter occupying similar space 

" 

NOTA�Y P LtC 

\ .JoAnn M. C;II;h�:n, NO��Z:n�b��un

t

y 

My commission expires � 

/ ?;.LZ I)' /'CI('" 

Commission ExpIres 

u

y • LV 

• i:� /' ..-!l.d J. I) (,;','(y of Gr,8ensburg. we:--tm 

J I 1 ...... 12 

. 

�� ���� S$ cl io OfN les 

'This affidavit must be made by the Own I Publisher, or the deSIgnated agent of the owrh 

TREASURY 
LASER IMAGING SYSTEMS, INC. (717) 266-1700 106486 

4500445684 10107 

..:OMMONWEALTH OF PENNSYLVANIA 

STO-52'1 REV. 1 2-88 

INVOtCENO. 

PUB:LICATIONS::AUTHORIZATION AND INVOICE 152068 

PUBLICATIONS AUTHORIZATION (To be completed by agency)�: 

TO: (NAME AND ADDRESS OF NEWSPAPER) : FEDERAL 1,0. NO./SOC. pEC. NO. FROM: (NAME AN D ADDRESS bF AG ENCV) : .AGENCYTE"lEPHONE NO. 

The. Beaver Country Times : 25-0925263 J � Van Skike � 7J}-:??7::4�?5� _ _ _ � _ 400 F'air Avenue ·�·--·---------·--------PA DEP/BAQ 

Beaver, PA 15009 400 Market Street 

Attn: Lisa Lewis Harrisburg, PA 17105-8468 

HEREWITH IS ENCLOSED COpy FOR PUBLICATION OF ADVERTtSE;MENT FOR PROPOSAL.S TO· 

o EMPLOY o PURCHASE o CONTRACT 

PUBUSH ADVERTISEMENT (NO. OF" TIMES) 

One time only I MAXIMUM NO. OF LINES 

OATES OF INSERTION 

June 8, 2012 

o SELL I TYPE OF ADD CLASSIFIED 

DATE I ORDER NO. 

SIGNATURE FOR AGENCY � 

{t� £" CUi {!l� 

fR] LEGAL NOTICE 

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 matter and title of officer . to be set solid intype regularly used by_�our news�Rer for Rubfic (�gal) 

notice advertising; charge to be made at the rate charged to and paid by cdmmercial advertisers for matter similarly set and 

occupying similar space; adv�rtisement to be run in the editions specified above. Venqor 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 accept this advertisement undertheterms 

set forth. 

Proof of advertising in the form of atearsheet 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. 

ACCOUNT 

CODE 

1stAd 

2nd Ad 

FUND DEPT APP 

DATE OF INSERTION 

6/08/12 

YEAR LOG ORG COST FUNCTION 

ACTUAL NO. OF PRINTED UNES 

154 

OElJ AMOUNT 

COST PER LINE TOTAL AMOUNT 

3.11 47 .. 94 

3rdAd 

clerical/ eb fees 2g.00 

. -----'-

---.- ___ 

. ______

 . ______ .,--L.�:.-=,.,:;=---=-�:...::.-:.:.::--=:----+---�� 

.

.. ..

. :-

__ �,---+-.----

- '--;;.$! C":Ii.:� <C ��;::

i";;a.�gt;; .. �-�m-:·;= � c:"E' 0 -o�>: F§-;g!:;-5-g1fe'EVi �z-··-�� t:-- c: £;" '::'(1,' o:;:<.� o:�r;;:':g-trErt;� tr:[ Qi�""&E'o cT";=Fe�'�--' , 

�����B� eo�s�-o����- E�c:

�!e�j���NS�ffiEM�c:

�§�8� C:

�����NoEE�E�?������£�R��� c:

� '94 '�:g�� ��::;'�::i:g;��� ��3���� �.�.n� g l,g� ���§��i;:g�-§ c:

;; i:E� �;�� � ������� ���:SB � ��t���� �.§�� '--

�re�g���::4.2� �:5����� ��,*"*'� � �;.�::� �:�� �� 8� ����:B���gE � ���'* ��� §;:, �� *'�E���§;.= �.�§��� � i 

C Ec:.: c i:.: E1i:�i5.iV..c: �Vi "' .. .8 ;;:..i;i -� E: �- £::

.e E O��ejgt: � Ql � � Qi� e 2 �� EZ.;;�"" t:r-!. �t; c:;'�'t: g<!.!E! VI.:;:x:p..E� ID:O B i5 �tnt: �fi'i60:3 Et;.gtn�§ E� �'E§:..e£ ��jg.�E·�:3 �'t;'E��g s-;:

�!- �g,;;

E't;:5 � §£� =:it- 8�a�.S1H�£.e � 8� l5.� g�':5a: :gBo.

� ��.��� 

, _R ._.� •• __ " " �'''

,

._ .r 

-

,.,----

. - -.-.-'.---� .. �.' ..• '_�.,.I_,�._�-.._ -�.. t -= (I,� � V\ t".t ,I � _ . , ..r=: � - •• = � -:

 .. ' IX. a _ _ .;:v I �;: e- � -: --

I ��ffi,.�:-. 

Commonwealth of Pennsylvania 

County of Beaver 

Before me, the subscriber, a Notary Public in and for said County, personally came Tina. Bequeath 

who b�ng du�sw�n,dothdepose and saythathe is* _ o tro r� _ ___ ___ � __ � ___ _� 

the Beaver County Times a general newspaper published at 400 Fair Ave I Beaver I PA '15009 

that the advertisement, of which tearsheet is attached.hereto, was published in the regular advertisi ng cQlumns of said newspaper, 

In the editions of said newspaper, in all respects, as ordered and invoiced above; and that the Commonweal�h is 110t 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. 

Sworn and subscribed before me this 12th . 

� 

. �12 ��������_ � �UBUC eo"MONWf

 QF PENNsyt.� 

_ 

. 

r Notarial Seal I 
LASER IMAGING SYSTEMS, INC. (717) 266-1700 106486 

COMMONWEALTH OF PENNSYLVANIA 

STD-5�n REV. 12-88 

4500445684 10/07 

INVOIC£NO. 

PUBlICATIONS>.AUTHORIZATION AND INVOICE 152062 

. 

PUBLICATIONS AutHQRIZATION (To be c0":1pleted by agency):. 

TO: {NAME AND ADDRESS OF NEWSPAPER} • FEDERAL 1.0. NO.ISOC. !5EC, NO. FROM: (NAME AND AODRES5 bF AGENOY) : AGENCY TELEPHONE NO, 

Williamsport Sun-Gazette 

Att: Legal Ads 

:_..2Jt:QZJ9]_3�Q�'_"_.A___ J. V·an Skike . : 717-787-4325 

PA DEP/BAQ !.

_ • • • •••• _ •••• •••• • • 

252 West Fourth Street 

W:Llliamsport, PA 17703-0728 

HEREWITH IS ENC("OSED COpy FOR PUaUCATlON OF ADVERTISEMENT FOR PROPOSALS TO 

EMPLOY [J PURCHASE 0 CONTRACT 

puaUSH ADVERTISEMENT (NO. OFTIMES) 

One time only I MAXlMUM NO. OF LINES 

400 Market Street 

Harrisburg, PA 17105 

I TYPEOFAO 

D SELL 0 CLASSIFIED �e:GAL NOTICE 

DATE _ I OROER NO, 

_O�T��

E

Sn

O

aF�

I

�N

S E

_RT_10�N�� __________ ______ __________________ �SI�G��'��U�I���Nl: 

June 0., L.U 1. L. 

YOU, as ven d or, are aut h on. ze d to pu bl' IS h t h' IS a v d ertl" sement In. your newspaper, su b' ject to t e h terms 0 f t h" IS or d er, 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 matter and title of officer.to be set solid in type regularly. used by_y:our newsp�Qer for public (�gal) 

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. Ven.dor 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 incfuded 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. 

ACCOUNT 

CODE 

2nd Ad 

3rdAd 

FUND OEPT API" YEAR L.DG ORG COST FUNCTION 

ACTUAL NO. OF PRINTED UNES 

OBJ AMOUNT 

COST PER LINE TOTAL AMOUNT 

TOTAL-;. 

·SUi!.L leUOSJed 'SW!.L i 

>1O!8 'awll UOnl:!OBA t �UO!SIA ',BlueO ,'41BaH ,1:-_____________________________ _ :smaU9a, �)AI�IJadwo:) " 

who ei Q.

duly 

the � ��=-��S� __ � __ ------------

that the adverti ent, of which tearsheet is attached,hereto, was published in' the regular advertisin 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 com mercial advertiser for a similar amount of matter occupying similar space 

and set in a similar mannerr in said newspaper. #.

 r� 
. OF PENNSYLVANIA 

:fr, REV. '1 2�88 

4500445684 1 0107 

IfNOICENO. 

PUBlICATION S:,AUTHORIZATION AN D INVOICE 152058 

"ollCATIONS AUTHORIZATION (To be completed by agency) �, 

, 0.: (NAMe: AND AODRESS OF NEWSPAPeR) 

Philadelphia Inquirer 

Att : Legal Ads 

PO Balt 8263 

Philadelpbia. PA 19101 

• FEDERAL 1.0, NO./SOC. l5EC, NO. FROM: (NAME AND ADDRESS Or AGENCY) • AGENCYTELEPHONE NO. 

: 21-2937 76,7 ..J .. Van Skike : 117-787-4325 

.� - - - - • w - - - - - - w, - - - w - - - -

PA DEP /'BAQ !. - - - - k -1- - - - • - ••••• - - • 

400 Market St . 

Harrisburg. PA 17105 

HEREWITH 15 ENCLOSED COPY FOR PUBLICATION OF ADVERTISEMENT FO!:t PROPOSALS "0 I T\lPE OF AD 

[J EMPl.OY 0 PURCHASE 0 CONTRACT o SELL. D CLASSIFIED S LEGAL NOTICE 

pU8USH One AOVERTISEMENT (NO. OF'TlMES) 

time only 

OATES OF INSERTION 

June 8, 2012 

I MAXIMUM NO. OF LINES DATE I ORDER NO. 

,� �' 

You, as vendor, are authorized to publish this advertisem,ent 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 l ines and signature 

to be in capitals and subject matter and title of officer . to be set solid in type regularly used by_your newsm!Qer for Rublic {�gal} 

notice advertising; charge to be made at the r�te charged to and paid by commercial advertisers for matter similarly set and 

occupying similar s pace; 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 discr.iminate against any employe or other persons on account of race, color, 

sex, religious creed, ancestry, age Of 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 wi II hot accept this advertisement under theterm.s 

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. 

ACCOUNT 

CODE 

1 st Ad 

2nd Ad 

3rd Ad 

DATE OF INSERTION 

Commonwealth of Pennsylvania 

County of ____________________________ __ 

ACTUAL NO. OF PRINTED LINES COST peR LINE 

GRAND TOTAL..". 

PASTE TEARSH EET HERE 

Before me, the subscriber, a Notary Public i n a n d for said County, personally came 

who being duly sworn, doth depose and say that he is* 

AMOUNT 

TOTAL AMOUNT 

the a general newspaper published at ____ �" ______________ _ 

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 simi lar amount of matter occupying similar space 

and set in a similar manner, in said newspaper. 

Sworn and subscribed before me this 

day �. ____________ � _____ ______ _ 

SIGNATURE OF AFFIANT 

NOTARY I>UBI-IC 

My commission expires 

"'This affidavit must be made by the Owner, Publisher, or the designated agent of the owner or publisher. 
Ij