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IN THE COURT OF COMMON PLEAS OF CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR & INDUSTRY
to thc usc of the
UNEMPLOYMENT COMPENSATION FUND
Dockct Number 97 2014 CIV
vs,
ROBERT WHITMER, RANDY FARNER, ROY
CARBAUGH, MELVIN REDHEAD, JERRY
OTT & DONALD THOMAS, INDIVIDUALLY
& AS PARTNERS TIA R & R ROOFING
117 WALNUTDALE ROAD
SHIPPENSBURG PA 17257
AUTHORITY TO SATISFY
TO THE PROTHONOTARY OF SAID COURT:
NOW. to wit. HARCH 11 1998 thc Commonwcalth of Pcnnsylvania,
Dcpartmcnt of Labor and Industry. to' thc usc of thc Uncmploymcnt Compensation Fund,
Plaintiff in thc above action. through its Chicf Counscl, by its Dcputy Chief Counscl for
Employmcnt Security. acknowlcdges having rcccivcd of thc Dcfcndant abovc named full
paymcnt and satisfaction of thc above captioncd Licn, with the intcrcst and costs thcrcon due
it; and desirc that satisfaction bc cntcrcd upon thc rccords thcrcof.
AND you. thc Prothonotary of said Court, upon receipt by you of your costs. are
hercby authorizcd and cmpowcrcd. in thc namc and stead of thc Plaintiff. to cnter full
satisfaction upon thc rccord of said Licn as fully and cffcctually, to all intcnts and purpescs,
as wc could wcrc wc prescnt in person to do so; and for so doing, this shall bc your
sufficicnt warrant of authority.
IN TESTIMONY WHEREOF. thcrc is hcrcunto affixcd thc Scal of the Departmcnt of
Labor and Industry. Commonwealth of Pcnnsylvania, this 11 TH day of MARCH . 1998.
ACCOUNT NO. 21-16244
AD NO. 269148
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SEAN p, CREEGA
Deputy Chicf COlln5':1 for Employmcnt Sccurity
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UC,128 REV, '.91
IN THE COURT OF COMMON PLEAS OF
CUHBERLANDCOUNTY, PENNSYLVANIA
CERTIFIED COPY OF LIEN
TO THE PROTHONOTARY OF SAID COURT:
Pursuant to Section 308.1 of the
Pennsylvania Unemploymenl
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: 21-16244 2
AD Number: 269148
OTP.'YR. CONTRIBUTION
DUE PAIO/CREOIT
3-94 WE 6.02 6.02
3-94 445.53 445.53
4-94 WE 14.99 14.99
4-94 1,109.43 1,109.43
1-95 WE 5.88 5.88
1-95 580.04 580.04
2-95 WE 5.85 5.85
2-95 577.44 577.44
3-95 WE 1. 86 1. 86
3-95 183.83 183.83
4-95 WE 22.89 22.89
4-95 2,199.40 1,690.73
sub,total
I 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 Fiacal Coda, 12 P,S, 6 806, par month, or Iraction 01 a
month,lrom 04/30/1997 .
DOCKET # 97- dOlt c...w...o
DATE ENTERED
T QJ\fC'
,fl,q,COPC! cu..:tl5084'l (.l.tl 5/0""
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
TO THE USE OF THE
UNEMPLOYMENT COMPENSATION FUND
vs,
.
ROBERT WHITHER, RANDY FARNER, ROY
CARBAUGH, HELVIN REDHEAD, JERRY
OTT & DONALD THOHAS, INDIVIDUALLY
& AS PARTNERS T/A R & R ROOFING
117 WALNUTDALE ROAD
. SHIPPENSBURG PA 17:{57 :3
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'~~~i~~;Jt~\ OA~~~~~ . ,#o~E~A"n Out -
II ~ATE RfPOIlT/
BALANCE CC,.HIIButtO.. PAIB.oJ.n ~S"O"OREC C"lC'
.00 .00
.00 76.69 45.16
.00 .00
.00 175.64 112.44
.00 .00
.00 82.22 58.59
.00 . 00 :
.00 70.75 58.33
.00 .00
.00 19.50 25.00
.00 .00
508.67 206.11 222.17
508.67
630.91
1,661.27
9.00
521.69
Total
Filing Fee(s)
Additional Legal Costs
Addlllonallnterast
Satisfaction Amount
Tn. lmOI/t'QnICl, o.recto'. Bulllu 01 Employl' Ta. Operatlonl, O'Il~m."1 ol Utlo. .nd Indu'Vy. nr11flu 1"111"1 &tic... unlmOloymlnt comp,n...Ilon conlnbvtlon" Int,rut &nil ~nalti"
11I" du. ana P.y&bll by tn. .bOY' nam.d dlllnda~1 und" tnl provl,.on, ollnl Plr-n'ylvlnll un.mOloym....' ComO.I'I..IIOI'lI.a..... Pulluanllc S.ctlon 308.1 of .ald law, ~3 P.8.I U8. 1.
Ih. ",OYI COl'ltrlbVllon., II"I1.r." a,.,a plna~I" arl alii'" upon In.franchl'" 1Il'l0 proP'rty, bOln rill ano pI"Ol'la:, Inclucllng a~.r aCQulr.a P100Il'ly, o'tn. abOVI namad deflndant and
'!lach tnlrlllo Irom Inl dall OII"lry ollnl' C.r'!lf.la Copy 01 U.n.
Oorl<:1or, Bu'"" 01 Emoloy" Tt. 0011.1101'1'
TO BE RETAINED BY RECORDING OFFICE
04/07/1997
DATE