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UC.728 REV, 6.9~
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
DOCKET #
00 - ..2PO I
DATE ENTERED
CERTIFIED COPY OF LIEN
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to Section 308.1 of the
PennsylvlInia Unemployment
Compensation Law, 43 P .S. t 788.1,
this is a Certified Copy of Uen for
unpaid unemployment compl!nsation
contributions, interest and penalties to
be entered of record by you and
indexed as judgments are indexed.
VS.
.
PREPARED MILLWORK INC
1 BRENNEMAN CIRCLE
MECHANICSBURG
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PA 1\'l1l595
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PENNSYLVANIA EMPLOYER
ACCOUNT NUMBER: 21-172 3 7 5
AD Number:
284805
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QTRlYR. CONTRIBUTION . INTEREST DUE ON UNPAIC PENALTY DUE
DUE PAID/CREDIT BALANCE CONTRIBUTION AND I OR LATE REPORTI
CONTRIBUTION PAID LATE. DISHONORED CHECK
.
2-99 WE .00 .00 .00 .00
2-99 1,512.27 .00 1,512.27 84.43 151.23
3-99 WE . 0,0 .00 .00 .00
3-99 566.43 .00 566.43 21.71 .00 .
.
I
I sub-totai 2 078..70 106.14 151.23
Additional 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
month, from 04/30/2000 .
II.' I Mt&tiil. r:: .,..,.....,',...,.,.,...,.,.,.,.,.,.,.,.,i.;!,."",.,.,..~,','.',.,.,'.il,.",.,',.,.,.,il,.,.,.,".'j5"9".'".,:,.,.,"'.',',",.,.',.,P'o',',.",',.,1,o.,.,',.,',.,.,',.,.,'....,'., II
,.....,...........'.'...'."........,'.......'...........,."......:':.;...:.:.:...:.:.:.:.:.,.,.:.:-:.:.:.z.:.:';.
Filing Fee(s)
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Additional Interest
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The undersigned, Director, Bureau of Employer Tax Operatlona, Department of Labor and Industry, certifies that the above unemployment compensation contributions, Interest and penalties
are due and payable by the above named defendant under the provisions of the Pennsylvania Unemployment Compensation Law. Pursuant.to Sectlon,308, 1 of said Law, 43 P.B. g 788.1,
the above contributions, Interest and penaltIes are a lien upon the franchises and property, both real and personal, including after acquired property, of the abbve named defendant and
attach thereto from the date of entry of this Certified Copy of Lien.
R Jut?l1~
R. SCOT MIEDRICH
Assistant Director, Bureau of Employer Tax Operations
TO BE RETAINED BY RECORDING OFFICE
04/24/2000
DATE
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