**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)**  **•** 

### F**E D**  

### E **R**

### A **l.. 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**  **.-** 

### - - - - - - **-** 

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## , **. .,. - - - - - -**

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## o **EMPLOY** 

## 0 **PURCHASE** 

## 0 **CONTRAC.T MAXIMUM**  **NO. OF**  **LINES** 

### One **time OATES**  **OF INSERTION**  **June** 

### 8, **2012** 

## o **SELL FROM:**  

### (**N**

### AM **E MilD**  **AOORE55 bF'**  **AGENCY) •**  **AGENCYTElEPHONE NO.**  **t** 

### J. **Van S**  **k i**  **k e**  

## �?J}-..???_-:4'Jf.. **)� ...**  **-- PA**  **DEP/BAQ** 

### 400 **Market Street**  **Harrisburg, PA**  

### 17105-8468 **iY P** 

### E **O**

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## o **CLASSIFIED** 

## a **LEGAL NOTICE** 

**You, as**  **vendor, are**  **authorized to**  **pu b**  **l i**  **sh this**  **advertisement in**  **your n**  **e wsp** **a p**  **e r** **, s u**  **b je** **c t**  **to the**  **terms of**  **this order,**  **as follows:**  **Advertisement to**  **be, published**  

### in **r e**  **g u**  

### l **a r**  **advertising columns,**  **riO position**  **specified; caption**  **of two**  **fines and**  **sig n**  **a t**  **ure to**  **be in**  **c api** **t al** **s 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; ch**  **a r**  **g e**  **to be**  **made at**  **the rate**  **charged to**  **and p**  **a id**  **by commercial**  **advertisers for**  **matter similarly**  **set and**  **occupying s**  **im ila**  **r space; advertisement**  **to be**  **run in**  **the e** **di t** **i on**  **s specified above.**  **Vendor agrees**  **that, in**  **t h**  **e performance**  **of any**  **contract awarded to**  **it hereunder,**  **s a**  **i d**  

### vendor **will not**  **discriminate** 

### a **g** 

### a **i n**  **s t**  **any employe**  **or other**  **persons on**  **account of**  **race, color,**  **sext religious**  **creed, ancestry.**  **age or**  **national origin**  **and that**  **the Commonwealth,**  **upon r** **e c**  **eip t**  **of satisfactory**  **evidence of**  **such discrimination,**  **s h**  

### a **l** 

### l **have the**  **ri g**  **h t**  **t o**  **cancel said**  **contract. Return this**  **copy a**  **t once**  **if you**  

### will **not accept**  **this 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. '** 



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**Commonwealth to**  **be billed**  **only for**  **actual number**  **of** 

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**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** 



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# 1.52057

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### �arr190urg **Patriot-Hews t**  **FEDERAl.!.D .**  **NO,ISOC, $EC.**  **NO. FROM: (NAME**  **AND AOORESS**  **OF AGENCY)**  **• AGENC¥TElEPIiONE**  **NO,** 

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## o **EMPLOY** 

## 0 **PURCHASE'** 

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# 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**
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# rd**e r** 

# , **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** 

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# p**ersons 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**  **(**

# s **ig** 

### n 

# e **d by**  **the editor**  **or publisher)**  **to Agency**  **listed above.**  **Part** 

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### 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**  **Pe** 

# nri**sylvania ounty**  **of** 

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# �e **r, a**  **Notary Public**  **in and**  **for said**  **County, personally**  **came ·ho**  **being duly**  **sworn, doth**  

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### 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 t**  

### h **an 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 d**  **s ' PO**  **Box 582**  **. Reading,**  **PA 19603-0582**  **· •**  **fEPERAL I.D.**  **NO./SOC. lSEC.**  **NO. ·**  

## :.;l!t-:QQ **1** 

## 9 **95.**

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**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: (** 

### NA **M E**  **AND AOORESS**  **OF AGENCY)**  

### : **AGENCYTELEPHONE NO.**  

### J. **Van Skike**  **PA DEP/BA** **Q** 

## , **400 Market**  **St. Middletown,**  **PA 17105** 

**TYPEOFAD** 

## o **ct..A 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.**  **'**

**Commonw ealth**  **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**  

### Lynn **Scbittler N��i�dulyswm�d�hd�o�a��yili��i�** 

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**___ ____**  **_ _**  **: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**  

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### tH�RESA **M** 

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**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.l.Q**  **, .**  **• FEDERAL 1.0.**  **NO,/SOC. pEC.**  **NO. FROM:**  **(NAME AND.AODRESS**  **bF'AGENCV) '.AGENCYTElEPHONE**  **NO, .**  **T.Q: (NAME' AND.ADDRESS**  **OF NEWSPAPER)**  

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## Van **Skike** 

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### , **Scranton,** 

## PA **18503 HEREWITH**  **IS ENCLOSED**  **COpy FOR**  **PUBUCA110N OF**  **ADVERTISE;MENT FO�**  **P R**  **OPOSALS ,-0,** 



## o **EMPL.OY** 

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## 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 

## Mark **et 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:**  

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## ���V **Commonwealth to**  **be billed**  **only for**  **actual** 

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**ACCOUNT CODE** 



### 1stAd **2nd** 

### Ad **3rdAd FUND**  **DEPT APP**  **YEAR**

**DATE OF**  **INSERTION** 

# 1cL **<6 LOG**  **ORG COST**  **FUNCTION OBJ** 

**ACTUAL N**  **O. OF**  **PRINTED UNES**  **COST PER**  **LINE** 

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## i **g** 

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### 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 **Pitt sburgh**  **Tribune Review**  

### 622 **Calvin Hill**  **Driye Greens**  

## b **urg, PA**  

### 15601 **, FROM:**  **(NAME AND**  **ADDRESS bF'AGENCYI**  **• ,AGENCY**  **TSlEPHONE NO**  **• .**  **4- ... -**  **... ... ... .. ... ... ... .. .... "'" ...**  **H' _ _ """**  **_ .... ...**  **_** 

### J. **Va n**  **Skik e**  

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### 400 **Mar k e**  **t Street**  **Attn: Joanne**  **Callahane, Legal**  **Harrisburg,** 

### PA **17105-8 4**  **68 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 O**  **ne time**  

### o **n ly**  **DATES OF**  **INSERTION Ju**  **ne** 

### 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** 

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# �lm **iJ51&�Vt.l �Cietofln9**  

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### set **forth.**

**. .**  **( .**  **d**

**Proof of**  **advertising in**  **the form**  

### of **a tearsheet must**  **be included**  

## 0a:- **Parts 1 ,**  **2** 

# €! **3. Return**  **origmal and**  **two copi**  **es 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, t**  **he subsci**  

### Nho **being duly**  **s** 

# �

**oth** 

### d **:he �. �**  

### :hat 

### the **advertisement,** 

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**. 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** 



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# \ **.JoAnn M.** 

# C;II;h�:n, **NO��Z:n�b�� u** **n t**  **y My**  **commission expires** 

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**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"lE** **PH ONE NO.**  **The. Bea** **ver 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**  **Ha rrisburg,**  **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**  

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# I **ORDER NO.** 
**SIGNATURE FOR**  **AGENCY** 

# � 

# {t **�** 

# £" **CUi** 

# {!l� **fR] LEGAL**  **NOTICE**

**You,** 

### as **vendor,** 

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### in **your newspaper,**  

### subject **to the**  

### t **e r** 

### ms **of this**  **order, as**  **follows:** 

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### d **v e**  

### rtisi **n** 

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### specified; **caption of**  **t** 

### w**o** 

### lines **and signature**  **to be**  **in** 

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### advertisers **for matter**  **similarly set**  **and occupying**  **similar space;**  **adv�rtisement** 

### t**o be**  

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### o **r agrees**  **that, in**  **the** 

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### son **s** 

### on **account of**  **race, color,**  **sex, religious**  **creed, ancestry,**  

### age **or national**  **origin and**  

### t **h** 

### a **t 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**  **o** 

### nl **y** 

### for **actual n**  

### u **m** 

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**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**
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### clerica**l/ eb**  **fees 2g.00** 

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### PA **'15009 that**  **the advertisement,**  **of which**  **tearsheet is**  **attached.hereto, was**  **published in**  **the regular**  **a** 

### dve**r** 

### t**i s**  **i n g**  

### cQlumns **of said**  **newspaper, In**  

### the **editions of**  **said newspaper,**  **in all**  **respects,** 

### as **ordered and**  **invoiced a**  

### b **o**

### v **e ;**  

### 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 t**  

### his 

### 12th

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# 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>.AU**THORIZ ATION**  **AND INVOICE**  

# 152062

**. PUBLICATIONS AutHQRIZATION**  **(To be**  **c0 ":1**  **pleted 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** 

### . 

## : **717-787-4 3**  **25 PA**  **DEP/BAQ !.._**  **• • •**  **•••• _**  **•••• ••••**  **• •**  

## 252 **West Fourth**  **Street W:Llliamsport,**  **PA** 

## 17703-0728
**HEREWITH IS**  **ENC("OSED COpy**  **FOR PUaUCATlON**  **OF ADVERT**  **I SEMENT**  **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 **T YPEOFAO**  

## D **SELL** 

## 0 **CLASSIFIED** 

## �e:GAL **NOTICE DATE**  **_** 

# I **OROER NO,** 

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# LI� **� 2**  **Jun e** 

**0., L.U**  **1. L.**  **d h**  **. d**  **bl' h**  **h' d**  **" b'**  **h** 

### f **h" d** **YOU, as**  **ven or,**  **are aut**  **o n**  

## z**e to**  **pu IS**  **t IS**  **a v e**  **rtl s**  **eme nt**  **In. your**  **n ew** **s p**  

### a **p e**  **r ,**  **su ject**  **to t e**  **t**

### e **r m**  **s** 

### 0 **t IS**  **or er** **, as**  **follows: Advertisement**  **to be**  **published** 

### 'in **regular advertising**  **columns,** 

### no **position specified;**  **caption of**  **two lines**  **and s**  **i g**  **n a** **tu re**  **to be**  **in capitals**  **and subject**  **matter and**  **title of**  **officer.to be**  **set solid**  **in type**  **r eg**  

## u **l a**  **r** 

## l **y. used**  **by_y:our n**  **ewsp�Qer for**  

### p**u** 

### b **l** 

### i **c** 

## (�gal) **notice advertisin**  **g; c**  **harg e**  **to be**  **m a**  **d e**  **at the**  **rate charged**  **to and**  

### p**ai d**  **by commercial**  **advertisers f**  **o r**  **matter si**  **milarly set**  **and occupying**  **s i**  **m i**  **l a**  **r space;**  **advertisement** 

### to **be run**  **in the**  **editions specified**  **above. Ven.dor**  **agrees that,**  **in the**  **pe** 

### rf 

## o **r m**  **an c**  **e of**  **any contract**  **awarded to**  **it hereunder,**  **s a**  

### i **d vendor**  **will not**  **discriminate against**  **any employe**  **or other**  **persons on**  **account of**  **race, color,**  **s e**  **x ,**  **religious creed,**  **ancestry, age**  **or national**  **origin and**  **that the**  **Commonwealth,** 

## u **p o**  

### n **receipt of**  **s a** **t i**  **s**

### f **a c** **t o**  **r y**  **evidence of**  **such discrimination,**  **shall have**  **the right**  **t o**  **cancel said**  **con tract.**  **R e** **t**

## u **r n**  **this copy**  **at** 

### once **if you**  **w il**  **l not**  **accept t**  **h i**  

### s **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**  **(si**

## g **n** 

### ed **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**  **l i**  **n e**  **s p**

## u **b** 

### l **i s**  **he d**  **.**
**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 �**  **U O!SIA**  **',BlueO ,'41BaH**

**,1:- __**  **__ ____**  **____**

**_____ ______**  **______**

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**dul y**  **the**

## �**��=-��S� __** 

## �**__ ----------** **--- that**  **the adverti**  **ent, of**  **which tearsheet**  **is attached,hereto,**  **was published**  

### i **n '**  **t** 

### h **e regular**  **advertisin columns**  **of s** 

### a **i d**  **newspaper, in**  **the· e** 

### di **t** 

### i **o ns**  **of said**  **newspaper, in**  **all respec**  **t s.**  **a s**  **o rde**  **r ed**  **a nd**  **invoiced above;**  **and that**  **the Commonwealth**  **is not**  **charged therefor**  **at a**  **rate** 

### h **i gh**  **e r**  

# than **is charged**  **any ordinary**  **c om m**  **e r** **c i**  **a** 

### l **advertiser f** **o r a**  **s** 

### i **m i**  

### l **a r**  **amount of**  **m** 

### a **tt e**  **r occupying**  **s im**  

### i 

### la **r space**  

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

# #..



# r�**. OF**  **PENNS YLV**  **ANIA :fr,**  **REV. '1 2** **�88 4500445684**  **1 0 107**  **IfNOICENO.** 

### PUBl **ICA**

**TI ON**  **S:,AUT HORIZ** **AT ION**  **AN D**  

## INV **OICE** 

# 15 **20 58**  **"ol l**  **CAT IONS**  **AU THOR**  **IZ ATION**  **(T o**  **be completed**  **by agency)**  **�, , 0.**  **: (NAMe:**  **AND AODRESS**  **OF NEWSPAPeR)**  

### Philadelphia **In quirer**  **Att :**  **Legal Ads**  **PO Balt**  **8263 Philadelpbia.**  **PA 19**  **10 1**  **• FEDERAL**  **1.0, NO./SOC.**  **l5EC, NO.**  **FROM: (NAME**  **AND ADDRESS**  **Or AGENCY)**  **• AGENCYT** **ELEPHONE NO.**  

### : **21- 2937**  **76,**

**7 ..J**  **..** 

### Van **Skike :**  **117 -78**  **7-43 25**  **.� - - - - • w - - - - - -**  **w, - - - w**  

### - - - **- PA DEP** 

## /'BAQ **!. -**  **- - - k -1-**  **- - - • - •••••**  **- - •** 

### 400 **Market St**  **. Harri** **sbu rg**  **. PA 17**  **105 HEREWITH 15**  **ENCLOSED COPY**  **FOR PUBLICATION**  **OF ADVER** **TISEMENT FO!:t**  **PROPOSALS "0**  

# I **T\lPE OF**  **AD**



## [J **EMPl.OY** 

## 0 **PURCHASE** 

## 0 **CONTRACT** 

## o **SELL.** 

## D **CLASSIFIED** 

## S **LEGAL NOTICE**  **pU8USH AOVERTIS**  **EMENT (NO.**  **OF'Tl MES)**  

### One **ti**

**me only**  **OA TES**  **OF INSERTION**  

### June **8, 20**  **12** 

# I **MAXIMUM NO.**  **OF LINES**  **DATE** 

# I **ORDER NO.**  **,� �'**  

### Yo **u, as vendor,**  **are a**  **u**

### thori **z**

### ed **to publi** **sh this**  **advertisem, ent**  **in yo**  **ur newspaper,**  **subject to**  **the terms**  **of this**  **order, as**  **follows: Advertise**  **ment to**  **be published**  **in regu**  **lar adve**  **rt** 

### is 

### i **ng columns,**  **no position**  **specified; c**  

### apt 

### i**on of**  **two l i**  **n es**  **and signature**  **to be**  **in capit** 

**als and**  **subject matter**  **and title of**  **off icer**  **. to**  **be set**  **solid** 

### in **type regularly**  **used by**  **_yo ur**  **newsm!Qer for**  **Rublic {�gal}**  **notice advertising;**  **charge to**  **be made**  **at the**  **r�te ch**  **arged to**  

### and 

### p **a** 

### i **d by**  **commercial advertisers**  **for matter**  **simil arly**  **set and**  **occupying si**  **milar s p** **ace; adve**  **rtisement to**  **be run**  **in the**  

### editions **specif ied**  **above. Ve**  **ndor agrees**  **that, in the**  **perfo rmance**  **of any**  **contract awarded**  **to it**  **here un**  **der, said**  **vendor** 

### wi **ll not**  **di scr.**  **im inate**  **against any emplo**  **ye or**  **other persons**  **on account**  **of race, color,**  **sex, relig**  **ious creed,**  **ancestry, age**  **Of** 

### national **origin and**  **that the**  **Commonwealth, u**  

### pon **receipt of**  **satisfactory evidence**  **of such**  **discrimi nation,**  **shall have**  **the right**  **to cancel**  **said contract.**  **Ret u**  **rn this**  **copy at**  **on ce**  

### if **you wi**  **II**

### hot **accept this**  **advertise ment**  **under the**  **term.s set**  **forth. .** 



### Proof **of adver** **ti sing**  **in the**  **form** 

### of 

## a **tearsheet mus** **t be**  **includ ed**  **on Parts**  

### 1,2**& 3.**  **Return or** **igin al and**  

### two **copies (si**  **gned by**  **the e**  

### d **it**

### o **r** 

### or **publi sher)**  **to Age**  **ncy li**  **s ted**  **above. Part 1**  **mus t**  

### be **no**

**tarized. Part**  **4 is**  **yours.** 

### Co **mm onwealt**  **h to**  **be billed**  **only for**  **actual** 

### numb **er of**  **printed lines**  **p u**  

### blish **ed .** 
**ACCOUNT CODE** 

**1 s t**  **Ad 2nd**  **Ad 3rd**  **Ad DATE**  **OF INS**  **ERTION**



### Commonwe **alth of**  **Pennsylvania County**  **of**

**____________________________ __**  **ACTUAL NO.**  **OF PRINTED**  **LINES COST**  **peR LI**  **NE**

**GRAN D**  **TOT**

**AL .."..**  

### PA**ST E**  **TEARS H E**  **ET HERE** 

**Before me,**  **the subscriber,**  **a Notary**  **Public i n a n d**  **for said**  **C ou**  **nty, persona**  **lly came**  **who being**  **duly sworn,**  **doth d**  **epose and**  **say that he is** * **AMOUNT**

**TOTAL AMOUNT** 



### the **a gene**  **ral newspaper**  **published at** 

**_ ___** **�" ______________** **_** 

### that **the advertisement,**  **of which**  **tearsheet is**  **attached, hereto,**  **was publ**  **ishe d**  

### in **the regular**  **adverti sing**  **columns of**  **said newspa**  **per, in**  **the editions**  **of said**  **new spaper,**  **in all**  **respects. as**  **ordered** 

### and **invoiced above;**  **and that**  **the Commonwea**  **lth is**  **not charged**  **therefor at**  **a rate**  **hi gher**  **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 **�. ___**  **_**

**_**

**__**

**_____ �**  **_____ ___**  **___ _**  **SIGNA TURE**  **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**