Publication Authorization and Invoice

COMMONWEALTH OF PENNSYLVANIA
STD-521 REV.
06-2010
INVOICE NO .
PUBLICATIONS AUTHORIZATION AND INVOICE
PUBLICATIONS AUTHORIZATION (To be completed by agency):
FEDERAL I.D. NO.lSOC. SEC. NO .
TO: (NAME AND ADDRESS OF NEWSPAPER)
FROM: (NAME AND ADDRESS OF AGENCy) AGENCY
31-1498625
Johnstown Tribune-Democrat
425 Locust Street
PO Box 340
Johnstown. PA 15907
D
EMPLOY
717-787-9495
PA DEP - Bureau of Air Quality
400 Market Street - 12th FI
H~rric:;hllrn
HEREWITH IS ENCLOSED COPY FOR PUBLICATION OF ADVERTISEMENT FOR PROPOSALS TO
o
TELEPHONE NO.
Alex Haas
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PURCHASE
PUBLISH ADVERTISEMENT (NO. OF TIMES)
o
CONTRACT
PA 171 ()1-?~()1
TYPE OF AD
D
SELL
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CLASSIFIED
LEGAL NOTICE
MAXIMUM NO. OF LINES
1xONLY
DATES OF INSERTION
SIGNATU
FOR AGENC~
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Friday, October 3, 2014 OR Saturday, October 4, 2014
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 type regularly used by your newspaper for public (legal) 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 employee 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.
Return original and two copies (signed by the editor or publisher) to the agency listed above. Proof of advertising
in the form of a tear sheet must be stapled to original and copies. Original must be notarized.
Commonwealth to be billed only for actual number of printed lines published.
SAP FUND
GENERAL LEDGER ACCOUNT CODE
COST CENTER
7027300000
3522710000
110 V16414000000
BP 2014
%
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6343200
INVOICE (To be completed by publisher):
TOTAL AMOUNT
DATE OF INSERTION
1stAd
I
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2nd Ad
3rd Ad
GRAND TOTAL ~
cou~~;;on~cc~nia :
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Before me, the subscriber, a Notary
in and for said
personally came
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that the advertisement, of which tearsheet is attached hereto, was published in the regular advertising columns of said newspapl
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 a similar amount of matter occupying similar space and set ir
similar matter, in said newspaper.
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wh~g 1luly sworn~oth
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Sworn and subscrib d b fore me this
day of
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COMMONWEALTH OF pEN
Notarial Seal
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Vivian Ohs, Notary Public
City of Johnstown, cambria county
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*This affidavit must be made by the Owner, Publisher, or the designated agent of he 0
MEMBt:R. PENN YI.VANIAASSOCl
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Proposed St~te Implementation Plan' Revision
Redesignation Request and Maintenance Plan for the
Johnstown Nonattainment Area for the 1997 Annual
"and 2006 24-Hour Fine Particulate Matter National
Ambient Air Quality Standards; Public Hearing
Particulate matter (PM) includes both solid and liquid
particles suspended in the air. Fine particle pollution
describes particulate matter that is less than or equal to
2.5 micrometers in diameter (PM2.5).
PM2.5
concentrations above the federal health-based standard
pose a serious human health threat. With significant
improvements in air quality in the Johnstown Area, this
nonattainment area now meets the 1997 annual and the
2006 24-hour PM2.5 National Ambient Air Quality
Standards (NAAQS).
Therefore, the Department of
Environmental Protection (DEP) intends to submit a
request to the U.S. Environmental Protection Agency
(EPA) for the redesignation of the Johnstown Area to
attainment of the 1997 and 2006 PM2.5 NAAQS.
DEP is seekil')g public comments on the proposed
redesignation request, a proposed revision to the State
Implementation PI'!.n (SIP) containing the 2007
comprehen'sive inventorY as required under Section
(c)(3)the federal Clean Air Act (CAA) and a maintenance
plan demonstrating that the area can maintain the 1997
and 2006 P2,5health-based NAAQS for the next 10 years
as required under SectionA(a) of the CAA (42 U.S.C.A. §
7505a) . Upon EPA approval of the SIP revision, the
maintenance plan will also establish new motor vehicle
emission budgets for transportation conformity purposes.
Pennsylvania's proposed request to EPA for the
redesignation of the 'Johnstown Area to attainment and the
proposed SIP revision are available on DEP's website at
www.dep.state.pa.us (select "Air," then "Bureau of Air
,Quality," then "Regs/Plans," then "Clean Air Plans") or
through the contact persons listed below.
DEP will hold a public hearing to receive comments on the
proposal on Wednesday, November 5, 2014, at 11 :00
a.m. , at the DEP Ebensburg District Office, 286 Industrial
Park Road, Ebensburg, PA 15931-4119. Persons wishing
to present testimony. at the hearing should contact Alex
Haas at P.O. Box 8468, Harrisburg, PA 17105, by phone
at (717) 787-9495 or via email at alehaas@pa.gov to
reserve a time. should keep testimony to ten minutes or
less and should also provide two written copies of their
statement at the hearing.
If by Monday, November 3, 2014, no persqn has
expressed an interest in testifying at -the hearing, the
hearing will be cancelled, DEP will provide public notice
on the Bureau of Air Quality webpage at:
www.dep.state.pa us (DEP Keyword, "Air") if the hearing is
cancelled. Persons may also contact the DEP to find out if
the hearing is cancelled by contacting Alex Haas at (71 '1)
787-9495 or alehaas@pa.gov.
'
Persons with a disability who wish to attend the nearing
. and require an auxiliary aid, service or other
accommodation to participate in the proceeding should
. contact Alex Haas at (717) 787-or alehaas@pa.gov. TDD
users may contact the AT&T Relay Service at (800) 6545984 to discuss how DEP can best accommodate their
needs.
DEP must receive comments no later than Friday,
November 7, 2014. Written comments should be sent to
the attention of Nancy Herb, Bureau of Air Quality, P.O.
Box 8468, Harrisburg, PA 17105-8468, or nherb@pa.gov.
Use "Johnstown PM2.5 Redesignation" as the subject line
in written communication.
E. CHRISTOPHER-ABRUZZO
, Sec;retary
The Tribune-Democrat
Advertising
Receipt
PO Box 340
Johnstown, PA 15907-0340
Phone: 814-532-5038
Fax: 814-532-5104
BUREAU OF AIR QUALITY
Acct #:
02118083
Ad#:
00195902
P.O. BOX 8468
Phone:
400 MARKET ST., 12TH FLR.
Date:
HARRISBURG, PA 17105
Ad taker: KF
Sort Line: Proposed State Implementation
Classification
(717)787 -9495
09/30/2014
Salesperson:
Ad Notes:
105
Description
01 Tribune-Democrat
Start
Stop
10103/2014
10103/2014
Cost/Day
1
350.00
Total
350.00
CF Clerical Fee
2.50
Oath Oath form for Legals
5.00
Department of
Environmental Protection
OCT 0 8 2014
Air ReSource Management
Division
Ad Text:
Payment Reference:
Total:
Tax:
Net:
Prepaid:
357.50
0.00
357.50
0.00
( Total Due
357.50
)