HomeMy WebLinkAbout97-05967
No. 97-5"9~ 7
avll Term
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Court of Common Pleas
Cumbo Co.
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IN tltI COll"l 01 COMMON I'll Aii III
1~_III.A1l1l COliN' Y. 1'1 NNliYI VANIA
lJf)C~lf,'t'l ',/It" i
l1Aff IN'"'' fl
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CUHIIIW COPY OF LIEN
n' ~ I 1 '~I' 1\ I, II,'! I ,- i J'r: JI ,'f
C;OMMONWEAWI Of 1'1 NNUYLVANIA
DEf'AIHMENf Of I.AIJOIl AND INOlJUfRY
TO THE USE OF nlE
UNEMf'lOYMFNr COMPENSATION FUND
VI
TO lit I: I'JlO! HONOrAIlY OF SAIl> COllJl r:
1'l/II11anllo 43 1'.5. " 814(ul alul 188.1.1111111 n
Cmllll"d Copy 01 U"n fur ov",pulll IInolll"loYlllllnl
cornllllnl"t111n bonllflll ollll InllllUal 10 bo onlllllld
0' ,oco,d by you IInd Indu)(tIll 01 IUlIUlllllnll 0'11
Indll"od.
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fH.r,lr. Y. UMV I,
1111. Wh I... UawlI I.an.
M.ch.nlcbur~, '.nnlylvloll 110~~
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Soclol SOCl/rlIY Account Numbur:
~46-H-]5~5
Job Cuolllr II: 14 J I
Cleun 'Nile.
(nctmu 0.1.
O...,p.td
Amoon'
CleuTI WI..
lnchnu a.lIt
O",'p_
Amoun'
CIMft W.k
Ending O..a
0..,.,.
Am....,
Claim WHk
Ending 0...
Ow.....
.........
02-23-9
03-02-9
03-09-9
03-16-9
$ 173.00
173.00
173.00
173.00
P,
Additional interest will accrue on tha balance due of
the ebove overpaid unemployment compensation
benefits after 1D-31-97 . For the total
amount due on this lien, phone (717) 7B7-4765.
Total Overpaid Amount
Minus Amount Repaid
Principal Balance Due
Plus Interest
Total Due
Filing Fee
692.00
O.DO
6n.DO
166.08
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Th. undersigned. Ani.t.nt Oirector. Bureau of Unemployment Compensation Bene'its and Allowances. o.pertment M LIbor ... ........tt'
Commonw.alth of Pwmnlylvani.. certiUes th.t the above perlon i. oblig.ted. pu,suent tu 43 P.s. , 87411' to,.~ the abcwe",
eompenution benefill rllCei"ed by him/her together with interest thereon ch.rged per month or 'rlctlon of . month from O'nl JIbIf 1. '....
061 dlY' .ft.r the Notlc. of Overpayment was i'lued. whichever i. liter, untillhe o....rpaid benefitl ,r. r.paid. The In..,.. _II-
the Secret.ry of Revenue II pro..-idDd by Section 806 of the Fitcal Code. In ,ecofdlnCt with the 'oregoing ptovl.on of ktw ......, P.& .
,bove ove,peid unemplOVJIlAOtcompenSltion beneliltlnd intef..t ar. a lien upon the frenehi... .nd property. both,.., end,....n.l. .......-,4~
acquired PfOp.rfy. of JI'Ie abovf\ person and attach there10 from the dete 01 entry 0' I~' Certified Copy of u.n. u"'~<'i"
lv{/(~(OY~' Eby.Jr., Acting 10-17-91 .
'. Alli...n< o".ct~ .7 TO BE RETAINED BY RECORDING OFFICE ...
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