HomeMy WebLinkAbout01-5552UC-728 REV, 6-98
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CERTIFIED COPY OF LIEN
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to Section 308.1 of the
Pennsylvania Unemployment
Compensation Law, 43 P.S. § 788.1,
this is a Certified Copy of Lien for
unpaid unemployment compensation
contributions, interest and penalties to
be entered of record by you and
indexed as judgments are indexed.
PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-17094- 1
DOCKET #
DATE ENTERED
CO M I~O'N WEALT H[.O P~P E N NSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
VS.
CARLISLE SPORTS EMPORIUM INC
29 SOUTH MIDDLESEX RD
CARLISLE PA 17013
AD Number: 291637
CONTRIBUTION I CONTRIBUTION AND ! OR LATE REPORT/
QTR/YR. DUE PAID/CREDIT BALANCE ONTRIB[JT~ON PAID LATE' DISHONORED CHECK
2-01 WE .00 .00 .00 .00
2-01 1,801.16 .00 1,801.16 27.02 .00
I sub-total 1 r 801.16 27.02 .00
9.00
Additiona~ interest is to be computed on the above balance of unpaid unemployment
compensation contributions at the rate determined by the Secretary of Revenue
under Section 806 of the Fiscal Code, 72 P.S, § 806, per month, or fraction of a Additional Interest
month, from 09/30/2001
R. SCOT MIEDRICH DATE
TO BE RETAINED BY RECORDING OFFICE
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