COMMONWEALTH OF PEN. "'0.<1.2009 TUE 11:10 PM int.ligencer STD....,521 Rev., .... · .. '" . -=-= t·Uth •• ", ..... _ .... AUTHORIZATION AN.D INVOICE 146495 

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

,·Atbt!\'I#utiEl'Clar.!<'" 

8400~!>tit:ec13 ...... "..' ..... ' 

Ley:i.ttOWfl,· PAl~057 c···· 

HEREWITH [S ENCLOSEO'COPY FOR PUBl.ICATtON OF ..uD:VERTlSEMENT FOR PROPOSALS TO 

11;\" o EMPLOY 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 if you will not accept this advertisement under the terms 

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 printedJines published, 

DATE OF INSERTION ACTUAL NO. OF PRINTED LINES COST PER LINE: . TOTAL AMOUNT 

1stAd 

2nd Ad 

() , 

'L \:::> - 3rdAd 

'-'.-' '. -r . { 

PASTE TEARSHEET HERE 

Coml1f~nwealth of Pennsylvania 

County of IOU (oJ c, .. , _.... f) . 

Before me, the subscriber, a Notary Public in and fOJ said ~ounty,"personaIIY9ame, I.~u U(IQ... (~i.l oC 1<-

who being duly sworn, doth depose and say that he is' ~'L)-'·.L'.w.\ '1' (-"",Dl:-"\'(i-'·lJ(>C:·.ltJ.,){1.,·.l,(",lll'I..J'cL.C,' LC",i.;~··(,--:T"Y--__ ~-''7ir-:-;-crc='7"''-- the ~;"!i (¥:, CD' l' [)l,\ ( \ P (' Til')'l:" :, ageneral newspirfler published at . ,1 .; h::X\ IA (, , ,j/ (j 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. .' . " , . t .... . '.' '. "'.,'/ ' . . ..... .. ." . '. . (" .. ",,,"""'- '. ." .. 

Sw6r~.~ndstibscr;hed'l.fefor';hiet~is· . ·K." ..•.. ' •... / . . . ..,;~. ;;; ....... ' 

day 01 keJ.,';v,(",i "/,, ........ ' 2(rf) 'f •...>';, 

... ( ...... &.j\ '''t.:.; )!~l(\) ,''i, .,GNATUREOFA"'ANT 

NOTARYP(/lSLIC . I) . 

My cornmission expires I. 'J ?) I ). .. (Ii 1 '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 

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