*Federal Tax ID No. 68-0617327
AFFIDAVIT OF PUBLICATION
STATE OF WASHINGTON
County of Spokane} ss
Name:
Dayton Community Hospital
SR Number:
29988
RE:
Total:
9021655
No. Lines:
NO:
I,
Client ID:
$896.00
100
Request for Qualifications
Order Number:
198269
Ruth Sullivan
do solemnly swear that I am the Principal Clerk of The Spokesman-Review ,
a newspaper established and regularly published, once each day in the English
language, in and of general circulation in the City of Spokane County, WA;
and in the City of Coeur d'Alene, Kootenai County, Idaho; that said newspaper
has been so established and regularly published and has had said general
circulation continuously for more than six (6) months prior to the 23rd day of
July, 1941; that said newspaper is printed in an office maintained at its
place of publication in the City of Spokane, Washington; that said newspaper
was approved and designated as a legal newspaper by order of the Superior
Court of the State of Washington for Spokane County on the 23rd day of July,
1941, and that said order has not been revoked and is in full force and effect;
that the notice attached hereto and which is a part of the proof of publication,
was published in said newspaper
two time(s), the publication having
been made once each time on the following dates:
September 30th and October 4th, 2015
That said notice was published in the regular and entire issue of every number
of the paper during the period of time of publication, and that the notice was
published in the newspaper proper and not in a supplement.
Subscribed and sworn to before me at the City of Spokane, this
17th day of November, 2015
Notary Public in and for the State of Washington,
residing at Spokane County, Washington
Classified Proof
Client
Address
9021655 - DAYTON COMMUNITY HOSPITAL
1012 S 3RD ST
Phone
E-Mail
DAYTON, WA, 99238
Fax
Order#
198269
Requested By
Classification
0001 - Legal Notices
PO #
Start Date
09/30/2015
Created By
End Date
10/04/2015
Creation Date
Run Dates
Publication(s)
4
Online, The Spokesman-Review
Sales Rep
0057 - Joni Vincent
Proofed by Joni Vincent, 09/29/2015 09:49:14 am
(509) 382-2531
JEFF JURGENSEN
Order Price
$896.00
Tax 1
$0.00
JVINCE
Tax 2
$0.00
09/29/2015, 09:44:54 am
Total Net
$896.00
Payment
$0.00
Dimensions
13 ln08 X 46 ln08
Phone
E-Mail
Fax
(509) 459-5115
[email protected]
Page: 1
Classified Proof
Proofed by Joni Vincent, 09/29/2015 09:49:14 am
Page: 2