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96-01404
~ -::r - ::) 0- 0 0 -a. - Q\ I' 3 0 -::r ',. .5) 0 ("f) c<l , l{) Ln .3 .' I " ...3 l{j "+/ 1:1 () -J cL. 1 ~ U (, I'; 1- --, -i ~ ~' , ! i i , 1 UC.12a REV. 3.03 IN THE COURT OF COMMON PLEAS OF CUIlBERLANO COUNTY, PENNSYLVANIA DOCKET N(7(c - Hut.! c,~.:..C DATE ENTERED CERTIFIED COpy OF LIEN 1l'/.lU ,.l,,\.\\' ,,'u..<''/71(;:'' <<Ii ".,I:;'j COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF LABOR AND INDUSTRY TO THE USE OF THE UNEMPLOYMENT COMPENSA TION FUNO TO THE PROTHONOTARY OF SAID COURT: Purlulnllo Section 308.1 of Ihl Pennlylvln'l Unemployment CompenSltlon l8w. 43 P.S. t 788,1, thIs I. I Certllled Copy of Lien lor unplld unemployment compenSltlon contrlbutlonl, Inlereat Bnd penllllB' to be entered of record by you Bnd Indexed IS Judgment, are Indexed. . VI. ROBERT S IlCCLEAF 137 BIHOGE ST NEW CUMBERLAND PA 17070 . PENNSYLVANIA EMPLOYER ACCOUNTNUMBE~ 21-16192 6 , J ') I ~ , AD Number: 262B51 , ;,-1 OTRiYR, CONTRIBUTION DUE PAID/CREDIT 2-95 WE '7.42 7. 42 2-95 201.22 201.22 3-95 WE 7.BB .00 3-95 213.74 .00 4-95 WE 4.64 .00 4-95 125.85 .00 '-~ l 'I\i:UlE,;r Ol,lf 0" U"Po\IO CO"fR!eUTlO~ ANa I OR BALANCE co,.rR,autIOl.l ."'10 .Ate ,00 .00 .00 7.88 213.74 6.65 4.64 125.85 .97 sub-tolal 352.11 7.62 559.73 9.00 Additlonallnt.TIII i. to bl computed on the abo..... balance of unpaId un.mploi,mlnt comp.nSltion Contributions II the 'atl determined by the Secretary 01 Revenue undlr Section 808 of thl Filcal COdl. 72 P.S 1806, p" month, or fraction at a monlh,lrom 02/28/96 Total Filing Fee(s) Addlllonal Legal Costs Additional Interest Sat/slaellon Amount Th. I<fld."'Q"'.Cl. A'"Il.''' 0"11;10-, TI. 10'1:01.;"""; ;),.1,0", B..'..... 01 et'l'O 0,.' T.. OD"'~O~I, ::.o.".....~! 0' ~'oo' arc i"a"ll~" e.'N"Ilr1all~lt .oo~. ",",flID1o,,"","'1 C:0"'lD"'.a!10r! C:OI1l"OUIIO".. 1/'11....1 "'0 1l'/'lall'lI ar. 0... ."0 101','0-'1)}' li". &00.. "&-......: 1S.....:.!"l .....0.' lr>. Cl'O""O~1 0' ,... 1l'''''''I,I~.''''' ...".....0;01........' :::Ot'l'O'"lltO''~''''' Pllr....lr'llo 51C1'0.. J08' 01 ..d Lao, '3' S I 'B8 " ". ...... Od""'''' '0.,"....' '"d """,,. ... . '.e "Ode ,e. "'"oe... ..., "dO". "" ".' '"' "'''0'', 'O""d'". ".. "'""" "dO'.;, 01 th.. GO~' "'""'0 0"'''01r1 ."d '!IIC:~ '''''elO 1'0'" tOl. 121" ot .",-"/ O! I"'" C.rt,t.:::l ::;00;, 0' ...'... ~S~C~ AI"4Ilrl ::>"IClo'. 1'... Aeeo...,.",,; :'-;'~O" alir.... af Ef"'OlOJ'" '1'.. 011...."0..,. TO 02/22/96 DATE