COMMONWEALTH OF PENNSYLVANIA STD-521 REV. 06-2010 INVOICE NO. 

### PUBLICATIONS AUTHORIZATION AND INVOICE PUBLICATIONS AUTHORIZATION (To be completed by agency): 1FEDERAL I.D. NO.lSOC. SEC. NO. FROM: (NAME AND ADDRESS OFAGENCy) AGENCY j TELEPHONE NO. ! I

TO: (NAMEANDADDRESSOFNEWSPAPER) Harrisburg Patriot News 2020Technology Parkway Suite 300

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# ..**~?~~.?.~...........................................................** Alex Haas 

## i 717-787-9495 PA DEP
- Bureau ofAirQuality

........................................................................................ Mechanicsburq, PA 17050 HEREWITH IS ENCLOSED COPY FOR PUBLICATION OFADVERTISEMENT FOR PROPOSALS TO 

# o EMPLOY 

## 0 PURCHASE 

## 0 CONTRACT 

## 0 SELL 400 Market Street
- 12th FI H;:Irri,hllrct PA**17101-?~01** 

# ITYPE OF

## ADD
CLASSIFIED PUBLISHADVERTISEMENT (NO. OFTIMES) 

### I MAXIMUM NO. OF LINES DATE

1Time ONLY July 11, 2014 

### I ORDER NO. 

## IZl LEGAL NOTICE

You, as vendor, are authorized to publish this advertiserhel]JAh**you~newspaper,** subjeQt tq the terms ofthis order, as follows: Advertisement to be published in regular advertising columns, no position specified; caption oftwo lines and signature to be in capitals and subject matter and title ofofficer to be set solid in type regularly used by your newspaper for public (legal) notice advertising; charge to be made at the rate charged to and paid by co'mmercial 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 vendorwill not discriminate against any employee orother persons on account of race, color, sex, religious creed, ancestry, age or national origin and that the Commonwealth, upon receipt ofsatisfactory evidence of such discrimination, shall have the right to cancel said contract. Return this copy at once ifyou will not accept this advertisement under the terms set forth. Return original and two copies (signed by the editor or publisher) to the agency listed above. Proofofadvertising in the form ofatearsheet must be stapled to original and copies. Original must be notarized. Commonwealth to be billed only for actual numberof printed lines published. "**~APFUND** COST CENTER GENERAL LEDGERACCOUNT CODE % 7027313000 3522710000 6343200 I/OV16414000000 INVOICE (To be completed by publisher):
DATE OF INSERTION ACTUAL NO. OF PRINTED LINES COST PER LINE TOTAL AMOUNT I ;7 ", 1stAd \**1/-'1~** 

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### 2nd Ad I

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# I( 3rdAd 

### I F 

# I GRAND TOTAL

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Commonw Ith of Pennsylvania County of**~~~:CIIIIi:::~** Before me, the subscriber, a Notary Public in and for said ounty, pers**Who~~~'pooe~ds~fu~he~*~.~~~~~~~~~~~~~**__**~~~**___**~~** the**Y::a.lL:tL1~** 

## L a general newspaper publlshe at that the advertisement, ofwhich tearsheet is attached hereto, was published in the regular advertising columns of said newsp in the editions of said newspaper, in all respects as ordered and invoiced above; and that the Commonwealth is not charg' therefor at a rate higher than is charged any ordinary advertiser for 

### p s,imilar amount of matter occupying similar space and set ir similar matter, in said newspaper.

*This affidavit must be made bythe Owner, Publisher, or the designated agent ofthe owner or publisher. COMMONWEALTH OF PENNSYLVANIA Notarial Seal Donna M. Maldonado, Notary Public Susquehanna Twp., Dauphin County My Commission Expires Nov. 5, 2017 MEMBER, PENNSYLVANIA ASSOCIATION OF NOTARIES

# S The Patriot-News Co. 2020**Tbchnolo~y** 

### Pkwy Suite300 Mechanicsburg, PA 17050

Inquiries
- 717-255-8213 

# Now you know

DEPARTMENT OF ENVIRONMENTAL PROTECTION RACHEL CARSON STATE OFFICE BUILDING 400 MARKET STREET
HARRISBURG PA 17105



### THE PATRIOT NEWS THE SUNDAY PATRIOT NEWS 

## Proof of Publication UnderAct No. 587, Approved May 16, 1929 Commonwealth of Pennsylvania, County of Dauphin} ss Marianne Miller, being duly sworn according to law, deposes and says: That she is a StaffAccountant ofThe Patriot News Co., a corporation organized and existing underthe laws ofthe Commonwealth 9f Pennsylvania, with its principal office and place of business at2020 Technology Pkwy, Suite 300, in the Township of Hampden, County ofCumberland, State of Pennsylvania, owner and publisher ofThe Patriot-News and The Sunday Patriot-News newspapers ofgeneral circulation, printed and published at 1900 Patriot Drive, in the City, County and State aforesaid; that The Patriot-News and The Sunday Patriot-News were established March 4th, 1854, and September 18th, 1949, respectively, and all have been continuously published eversince; Thatthe printed notice or publication which is securely attached hereto is exactly as printed and published in their regular daily and/or Sunday/ Community Weekly editions which appeared on the date(s) indicated below. That neither she norsaid Company is interested in the subject matter ofsaid printed notice or advertising, and that all ofthe allegations ofthis statement as to the time, place and character ofpublication are true; and That she has personal knowledge ofthe facts aforesaid and is duly authorized and empowered to verify this statement on behalfofThe Patriot-News Co. aforesaid by virtue and pursuantto a resolution unanimously passed and adopted severally by the stockholders and board ofdirectors ofthe said Company and subsequently duly recorded in the office forthe Recording of Deeds in and for said County of Dauphin in Miscellaneous Book "M", Volume 14, Page 317. 

### PUBLICATION COpy ran on the dates shown below: 

### July 17, 2014

Sworn to and subscribed before me this 17 day ofJuly, 2014 A.D.

COMMONWEALTH OF PENNSYLVANIA Notarial Seal Donna M. Maldonado, Notary Public Susquehanna Twp., Dauphin County My Commission Expires Nov. 5, 2017**ME~IBER,** PENNSYLVANIA ASSOqAnON OF NOTARIES

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### The Patriot-News Co. 2020**T~'chnolo9Y** 

### Pkwy Suite300 Mechanicsburg, PA 17050

Inquiries
- 717-255-8213

DEPARTMENT OF ENVIRONMENTAL PROTECTION RACHEL CARSON STATE OFFICE BUILDING 400 MARKET STREET
HARRISBURG PA 17105 

# STATEMENT

AD ORDER# DATE EDITION ADDTL. INFO.
233427 DEPARTMENT OF ENVIRONMENTAL 0002307259 07/17/14 REGULAR
233427 DEPARTMENT OF ENVIRONMENTAL 0002307259 07/17/14 REGULAR 

## Department of

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## Env\rOnmental ProtectIon 

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ALL CHARGES ARE NET

TYPE OF CHARGE AMOUNT

BOLD TEXT CHARGE $4.00
BASIC AD CHARGE $879.94

AFFIDAVIT CHARGE $5.00 

# JUl 2 4**701~** 

## A'rRe5OUrce

# ~anage",ent Divis,on TOTAL: $888.94



### This is notan invoice. Please do not remit paymentfrom this Statement. An invoicewill be generated atthe end ofthe month. --Thankyou. NOTE: This Statement replaces the Order Confirmation which we previously sentwith Proofs of Publication