IMMC Health Affidavit of Publication

NJ Advance Media Woodbridge Corporate Plaza ATTN: Legal Advertising Dept. 485 Route 1 South Bldg E., Suite 300 Iselin, NJ 08830 INGLESINO WEBSTER WYCISKALA AND TAYLOR, LLC 600 PARSIPPANY RD STE 204 PARSIPPANY, NJ 07054 Star-Ledger AD#:0010937836 Sales Rep: Kristy Calabro FOR QUESTIONS CONCERNING THIS AFFIDAVIT, Account Number:1182038 PLEASE CALL 732-902-4318 OR EMAIL legalads@njadvancemedia.com AD#: 0010937836 Remit Payment to: NJ Advance Media Dopt 77571 P.O, Box 77000 Detroit, Ml 48277-0571 Page 1 of 3 Date Position Description P.O. Number Costs 11/21/2024 Public Meetings NJ NOTICE OF PUBLIC HEARING 1662-07158 TOWNSHIP OF WEST ORANGE Ad Size Affidavit Fee - 11/21/2024 100.00 1x 166L Basic Ad Charge - 11/21/2024 142.76 Total $242.76 Amount Due $242.76 Ido solemn decare and cet under te penales ow tet hs il or invokes carect in alts parters thatthe goods hav Boon fished or services have boon rendered as sated here hat no bonus has heen glen or eclved by any pean or persons win the knoviedge ofthis caiman in conncton withthe above im, tat the amount heen stated Is usty due and owing, and tthe amount charged tse reesoneble ona Date: 11/21/2024 Fed IDM: 13-4123607 sionatre: Chaie Tighe Official Position: AR Manager ¢ (CERTIFICATION BY RECEIVING AGENCY ‘CERTIFICATION BY APPROVAL OFFICIAL having ong fat, aa Sere a a gos nave \exty and dete al is rns caret nd tt uct nds en reed ore serves renee an aren compance wth ihe tee ovate sty bis cin. Tne Poymer sab chapebl fpectesion or er requerens, and sl caifaton based on sued [eben eps rota aronatepocecies veri ematen, AppropiaionRecounls) and Amouischaged: PO fsinatu: Signatoce: os Date, ‘THIS FORM APPROVED FOR USE BY LOCAL GOVERNMENTS BY THE LOCAL FINANCE BOARD