4500445684 10/07COMMONWEALTHOFPENNSYLVANIA DUPLICATENO.STD—521REV.12-88 PUBLICATIONS AUTHORIZATION AND INVOICE I 153159

PUBLICATIONS AUTHORIZATION (To be completed by agency)TO:(NAMEANDADDRESSOFNEWSPAPER),FEDERALID.NO/SOC.SEC.NO.FROM:(NAMEANDADDRESSOFAGENCY)ACENCYTELEPHONENO.

The Patriot—News Co. 23—1304402 Shanique N Smith 717—787—9702‘‘

Attn: Pena 255—8274 PADEP Bureau of Air”Qiia11ty

P.O. Box 2265 400 Market Street, 12th Floor

Harrisburg, PA 17105—2265 Harrisburg, PA 17105—8468HEREWITHISENCLOSEDCOPYFORPUBUCATIONOFADVERTISEMENTFORPROPOSALSTOTYPEOFADEMPLOY []PURCHASE flCONTRACTSELLCLASSIFIEDLEGALNOTICEPUBUSHADVERTISEMENT(NO.OFTIMES)MAXIMUMNO.OFLINESDATEORDERNO.

i May 19, 2010DATESOFINSERI1ONSIGNREFORAGE J

December 11, 2009

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 in typgjy__by_y newspaper for public (jegal)

notice advertising charge ta be rrade at’ th rate chargd to and aia by cbmmercial’ adertisers for matter’ imilarIy’ 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 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.VACCOUNTFUNDDEPTAPPYEARLOGORGCOSTFUNCTIONOR.)AMOUNT

CODE 5f 2ocf77Ooaoj J/& F+&c’z/)(. C—C 357ttO(, (—L.

INVOICE (be completed by publisher):DATEOFINSERTIONAJALNOVOFPRINTEDUNESCOSTPERLINETOTALAMOUNT

I: 1AdiV 755‘-,

2ndAd 3rdAd-‘

*--•L.•‘..•1, GRANDTOTL- ,

PASTE TEARSHEET HERE

Comrnonya(th çf fenns,lvania

County of &jLi- I Befq,re me, the stibscriber, a Notary Public in and for

who beinçjhlypvorn, 1 doth depose ajid say that he is”

the‘‘ L J i?‘I’ a general newspaper published at_____________

that the advertisement, of which tearsheet is attached hereto, was published in the regular advertising columns ot.aid 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 arty ordinary commercial advertiser for a similar amount of matter occupying similar space

and set in a similar manner, in said newspaper.,,V

qi—_-

Sworn and -sttbscribed before me thisVVVV,V/V/ / •JVVV-V

dayof_______________(IGNATUREOFArnANT

NI S.

My commission expiresIV shen1eLKl1et’,NatyPubIcV

IVVOWe, Pen ‘twp, DiuØilfl Cowity

*ThIs affidavItmUst be made by the Owner, PulliishM k,ner r pubhsher. D UI/I

VFMflC)R flHFCKTRANSMITrAL