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10 Ropes Street Salem News Form HE NALEm NEws REQUEST FOR LEGAL NOTICE Payment is required at the time of the legal notice being received by the city and before it is published in the newspaper.An email will be sent to you with the cost. Payment by credit card i�Rreferred Prepaid cost required to run the ad:$540. $270 per day x two(2)days=$540 ***Im ortant:Average legal notice costs are estimated; customers paying by check will be refunded if the legal ad is less than the deposit amount. If paying by check, please make checks payable to THE SALEM NEWS and mail to: City of Salem Dept. Of Planning and Community Development 4005'eo 140 A(tv�Aw IP4"j Cc:ZBA 98 Washington St 2n8 Floor Salem, MA 01970 Please choose and check one of the boxes for payment option: ❑Check# (attach check) redit Card—Must call Salem News legal notice clerk at 978-675-2710 If payment is not received,the legal notice may be cancelled. I understand that by signing this form, I am agreeing to the cost of the legal notice to be published in the newspaper. s Signed Applicant/Authorize Agent Print Name: William 1 ;am F Quinn Esq Address: 27 Congress Street, Suite 414 Salem, MA 01970 Email: billquinnlaw@gmail.com Phone: 978-745-8065 Date: 15