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<br />~ . <br /> <br />Gf!¡nera.1 Form No. 9'9 P (Rev. 191"l) <br /> <br />J"onn Prescribed by State Boud of Accounts <br />. <br /> <br />To <br /> <br />J(oor,"v1119 Ti... <br /> <br />Dr, <br /> <br />t81Æi Sf M.99'1'~sv111e <br />( overnmenta Umt) <br /> <br />County. Indi.ana <br /> <br />c <br /> <br />c <br /> <br />i <br />I <br />, <br />l <br />I <br />~ <br /> <br />PUBLISHE R'S CLAIM <br /> <br />LINE COUNT <br /> <br />Display Matter (Must not exceed two actual lines, neither 01 which shall total <br />more than four solid lines of the type in which the IJody of the advertise- <br />ment is sel)-number of equlivalent lines. <br /> <br />Head - number of line. <br /> <br />Body , number 01 line. <br /> <br />'fail . number of lines <br /> <br />Total number of lines in notice <br /> <br />COMPU"l'ATlON OF CHARGES <br />147 !ines, <br /> <br />columns wide equais <br /> <br />equivalent <br /> <br />$ ~7.nt <br /> <br />line. at .2§2 <br /> <br />oents per line <br /> <br />Additional obarge for notice. oonWning rule or tabular <br />work (SO per cent of above amount) <br /> <br />Charge for extra proofs of publication (50 cents for each <br />?roof in excess of two) <br /> <br />:57.04 <br /> <br />$ <br /> <br />TOTAL AMOUNT OF CLAIM <br /> <br />DATA FOR COMPUTING COST <br /> <br />6 <br /> <br />point <br /> <br />Width 01 single oolumn <br /> <br />1Ql ems <br /> <br />;sUe 01 type <br /> <br />Number of insertions <br /> <br />2 <br /> <br />Size of quad u:po:o which type is cast <br /> <br />pursuant to the provisions and penalties of Ch. 155, Acts 1953. <br /> <br />I hereby certify that the foregoing account is just and correct, thst the amount claimed is legally due, after allowing all <br />just credits, and that no part of the same has been paid. <br /> <br />J obnie Anderson <br /> <br />Date <br /> <br />hit. 17 <br /> <br />, ],9-15 <br /> <br />TlUe <br /> <br />oo-publisher <br /> <br /> <br />PUBLISHER'S AFFIDAVIT <br />State of Indiana ~ <br />IIn...p'" County sa: <br /> <br />Personally appeared before me, a notary public in and for said county and state, <br />the undersigned J obni. Anderson who, being duly sworn, says that <br />he is cO-p1:lbJ ~ f'hcrthe IInO.......",,, 11. T".....A <br />a weekly newspaper of general circulation printed and pub- <br />Ii.hed in the Eng!isb language in the (City) (Town) 01 Nnn...........111.. state <br />and county aforesaid, and that the printed matter attached hereto is a true copy I <br />which was duly publisbed in said p~per lor 2x time -, the dales <br />d publication being as follows: <br /> <br />~.- ;'--<,'. <br />..~ <br />~<"",:, .' . <br />;1(;,' ,'..·Açøi·'COPy <br />'..'. ':_,·.~SEMENT <br />. ,',,~' .JÞ~-- <br />'- - .,~ "'. ,..::.pAJ!i <br />~·-t·~·;;:,~:i~ <br />"~..¿Ii,;/Ìi,, ' <br />;~;-.1r~~Flt <br /> <br />Oot. 9. 16. 1975 <br /> <br /> <br /> <br />Subscribed and sworn to before this 17 day of Oct. , 19~5 <br /> <br />~_ .I ;' /' ~ ~.; (7 J f~--¡¡~"'-", .........!Notary Public <br />Nov. 4, 1978 <br /> <br />My Commission expires <br /> <br />t <br />