40 Boston Street Salem News Form -IT
HESALEM --' EWS
REQUEST FOR LEGAL NOTICE
I understand that by signing this form, I am agreeing to the cost of the legal notice to be published in the
newspaper.
Payment is required at the time of the legal notice being received by the city and before it is published
in the newspaper.
Please make checks payable to THE SALEM NEWS and mail to:
The Salem News
Attn: Legal Notice
32 Dunham Road
Beverly, MA 01915
Prepaid cost required to run: $270 per day
***Important:Average legal notice costs are estimated;customer will either be refunded or billed after
the legal notice is published.
** PLEASE BILL CORRENTI KOLICK LLP'S
ACCOUNT DIRECTLY.THANK YOU.
Check# ** (attach check)
Credit Card—please call our legal notice clerk at 978-338-2512.
If payment is not received,the legal notice will be cancelled.
Signed Applicant/Authorized Agent
Kristin E. Kolick, Esquire
Print Name:Correnti Kolick LLP
70 Washington Street,
Address: S ,i P : 6
Salem, MA 01970
Phone: (978)744-0212
Date: I?/Z �—