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, 11111 I,,' " , Nctf ., I, I, 'I ,t' ~ f J ,I " " ! I, :1 , Ii , " ,d I, ,I /I t4 ,'" 1_~'I~ . , 1'1' I " , , I' .. '9?~ 3'1f)() _-.. CllJlTtril , ' 11,: ,\ VI. , ~i1~;, ~. (, , , ,'1; " i' 'I .. '~'* ofCO~.... ....., CU~b. CO. " I, , , ,1",1 " , t"1 'II ,\)," , I ~ \ i" "'1' ., I " II ! ~ I " I I1II , ," " , 'd " " " " '"'I' "'", 'I " ,'t " ,l" 'I \ I I 'I \, uc'r~' ~ev, 1 :9r ,~ THE COU~T OF COMMON PLEAS qf eu 1I,ll IIl/H.. 1\ ~ 0 COU~TY, PENNBYLVII~IA * ~OCl<ET fI 97.31./-00 .' DATE ENTERED c.u~7~fl\ CE~m:'ED COpy Of l.;IEN ,'lq,Wrd c)J.,# f51~~q ~~ 'i3l>(p~ COM,MoNy/EIlc'TH Of PEN~8YLVr'N'1I DEPARTMENT Of LABOR r'NP INPIl8T~Y TO THE UBE OF T~E , II~EMPl.OYMENT OOMPE~8ArI0~ FU~P 10 THE "JI,OrHONOTIIRY OF 8AID COURT 1 pur,uI/'IIIO 81cIIo/'l 308,' 0' I~I , " PI"IlIYIYln'. 1I"lmplqvml,,1 COmpI/'IlIllo/'l LIW, 43 P.8. ,t 788.1, mIl ,. I CI""'ld Copy 01 LII/'I 'or ' ,1I/lPlld unemplovmont compenaBI',on conlr ~lIl1c"a, /'Ilerlll !I/'1d penBllIII 10 bl Inll,ad 0' rlcord bV voll 'nd , Jn~I~ld II judllrytl,,11 Irl 'ndl~ed, PE~NSYLVIIN'" EMPLOYER ~CCOUNrNUMBERI 21-9631 0 liD Nl,lmblrl 269856 VI. I LILLU IlIe 39 H~IS~R LI\~~ ~ CI\RLISL~ P/\ 17013 ," -'Ii 'j Ill, ..;", ;,'1, 1.'1<1 ,I,,", . ~ L ) " ") (l ,.J '\'I '"'I't .1 , ; : I '~a' ,...., ,,1.'3 '.'\ J~ I ' . 1'.' ',:.j. :':1; '. ~) 'r', ~?' ".~ ~r ~~1 - ~~ 0/ . , . :.j ", Qr/WA, co T IBUTIO o E PAIO/OREOIT 4-:96 W~ 31. 49 ..00 4~96 407.02 .00 1-97 WE .00 .00 1~97 6,284.56 .00 I 'lJ U 10 ':ONtnIIU1l0N" lJ ( 0' B CO,.lfUIUJION '~ID AfI. ~1.49 407.02 1e.44 .00 6,264.56 94.27 Iub.IOl., , , TrI. U"O'f.,"ld, 01'''10'' 11,1"1\,1 oIlmDlOYI' fl. OPllatlon_. D.plltMtnl of Lll)Or I/'IClIMClloltlry, c.rtj"..I~lIlh. PO'fII.lIl.",ploYn'l.nl lon'IIt,n'IIlOll lontll.~OIl'.I",..Il"'. ""1IlI" ." clU, an'll PIV'" ttv Ih, YOU "Am'cI cleflnclanl unci., It" p'0'01110n. of Ih'l'lllIl.ytvanll Unlmj)loyrn.nl COlTl~'"11l10n L~, flur'UlN'I1 10 "t1I~ GOI, I "M1c1Io_, .~ 1',1. . "1.1. Ih' HOY' l'>fllrlDulIOf'l'. 1"1,,"1 ancl ,,'nllllll ar, III'" upon Ih, 'rIllGhl"l Me! prop."..,. ~oth "II ene! PI'IO"aI,I"II"""', IIIlr 'lllllul'tCIlH'~IffV. or "" AM nM\ICI.".".anl In" III.,., Iherllo "om Ih, .'1' Of Inlry 0' Ihll Cllr1t~.. Copy or U.n, ' Lw:"~ LAUAA I. AlOHA . Di......,.......lIm..ovo,l'..CllIIIIll..' TO BE: RETAINED IlY RECOROINO OFFICE Totll Filing Fee(s) Addltlonll LtQIl Cotl. . Addltlonlllntsrest 811111.0110n Amounl " , Addltlonlllnlllutlato bt oO'l1pultd on Iht Ibo" blllnoa 01 u,nplld untmploym.nt oomptnlltlon oonlrlbutlona Iltht 'I" dtltrmlnad by tht StOrltlry 01 Atvtnut ~ndt' Stotlon SOS 01 tht ~aoll Codt, 72 P,S, . SOO, ptr month, 0' "1011 on 01 I month,lrom 06/30/1997 . 0611 M,I'~97