COMMONWEALTH OF PEN. 

### "'0.<1.2009 TUE 11:10 PM int.ligencer STD....,521 Rev., ....·.. '" . 

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### AUTHORIZATION AN.D INVOICE 

# 146495

..**Buc;ks<::q~Collr-tet"'f~~~** 

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## PAl~057 c···· HEREWITH [S ENCLOSEO'COPY FOR PUBl.ICATtON OF ..uD:VERTlSEMENT FOR PROPOSALS TO 11;\" 

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## D, PURCHASE 

## D" CONTRACT PUBLISH ADVERTISEMENT (NO. OFTIMES) MAXIMUM NO, OF LINES 

## 1 OATES OF INSERTION



## Februar 6 2009 'r'de d' . 

## D SELl. .. DATE SIGNA You, as vendor, are authorized to publish this advertisement in your newspaper, subject to the terms of this order, as follows: Advertisement to be**publish~d** in reg\llar advertising columns, no position**specifi.ed;G~ptionoftwo** lines and signature to be in capitals .aQd subje"t·

### matter,@(\d"titl!l.of~t;lfficer. to 

### IDe' set s&lidlnl'(yitle tegulsFlyuseti by ....

### '\'Qijr·J\rews~erfor'ht!Jblic'· (l!igal) 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 ifyou will notaccept this advertisement under the terms set forth. Proof ofadvertising in theform ofatearsheet 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 billedonly for actual number of printedJines published,

DATE OF INSERTION ACTUAL NO. OF PRINTED LINES COST PER LINE: . TOTAL AMOUNT 1stAd 2nd Ad 

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### , \:::> 3rdAd '-'.-' '. -r . { 

### PASTE TEARSHEET HERE**Coml1f~nwealth** of Pennsylvania County of 

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# (oJ c, .. , _.... f) . Before me, the subscriber, a Notary Public in and 

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# ~ounty,"personaIIY9ame,**I.~u** U(IQ...

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# oC 1<- who being duly sworn, doth depose and say that he is'

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### P(' Til')'l:" :, ageneral newspirfler published at . ,1 .; 

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# os. ' 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 invoiQed above; and that.the CorrimonwealtHis not charged .. th.ereforata 

### rate higher than i. 9harged any ordinary commercial advertiser for a simil"ramount ofrnatte(occupying sirnilar space 8T)d set In 8 Similar manner, Insald.newspaper. .' . " , .

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# ,''i, .,GNATUREOFA"'ANT NOTARYP(/lSLIC . 

## I) . My cornmission expires 

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# '1 ""This affidavit must be made by the Owner, Pub!isher}or the designated agent of the owner or publisher.

### M8R-31-2008 TUE 11:10 PM in"lig,ne,r

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### FAX NO, 

### 2158578165**:'::?";;'~~''''!'-:;'';''FcE**'NO; p, 

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