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HomeMy WebLinkAbout97-06162 \ 'I No. I) ? /tJ11I:J awn Tlrm 'J,.l , ~~rrrl,~ '~l#tj'4h ct1fJ~, ~ ~ ~ "-~e4~/ ~! - court Of common '1.1. cumbo co~ " " I , j, I. I ,,.,- r' . ..Il r"_~~, ""'M. _ """H 00'788 R~V Ioe7 IN THI! OOlJ/lT Of OOMMON P~MS of cu H13I.\HJ..nH D OOlJNTY, PE~NSY~VIINJA OOOKI!T ;I '17 - (tJ I /.p ,) l\.".!) DATI! I!NTE/lI!O 1"(ln C/=ImPIl:p COPy OF LIEN 'Ii q ,\...0 I rI (II IH~1}'1'741 (11J fj'il fj:J'3 OOMMONWl!fiI..TH Of PI!N/'lSYI-VANlII DEPA/lTMI!NT OF I-M30R ANP INPlJBT"'Y TO THE lJSE Of THE lJ/'lI!MPI-OYMENT cOMPJ:N8ATION flJNO TO THE p/'IOTHONOTA/lY Of 8AIO OOlJ/lTI pureullnllo 6lc"on 31/8, j 01 1111 fI.nney,v.nl' Unemploymenl Oompl/l.III Q/I I.IW, 43 fI.8, . 788, t, mI.'. II Olnl/lld copy 0' I.Iln lor ~npllllj IInlmp/oymlnl oompln..lIon 1l0IWI~uI'onD, I)Ilre.1 lI/1d pl/1111I1e.lo ~I e"lered 0' rloord by yo~ IInd )nde~"d .lIjudl/mlnt. efl Jndl~ld, flI!NN8Yl-VANlA EMPI-OYE", 1I000lJNT NlJMBERI ~ 1 ~ 15 0 9 2 4 AD Nllmberl 272254 . VII, JO/J~:1'1I 1'0HCIIOCli IHoIVIPUnJ..LY ~ Tin UHIHnl~ nDOHmiJiJlHG b H^I~IHG /JF.I1VICj;; 1 J~:n'I1F.Y 110no · H~:CH^"IC/JnlJl1q 1'1\ 17055 OTMR. ;l~93 wm J~93 o E CO TRIBUTIO P 10lC EO T 2.09 B .13 .00 .00 , \;.11 " , B C t:mmIUllJlIl)/j ~g I Q~I ,," '%001' 1;00lT/llnLJTIQI, "I I-~t, 1)lb~IPhlQfl ell a:~ 2,09 .00 8 . 1 3 3.44 .00 P ~ It> Ig f, 'U1ili " " 'r.: r',l fA) , ~ u),'.: en j,:'~ i; ~ ", ~ . . .,./ t....;(". .0 , \ .. ." ~ r:" ~".. N , 10.2 Dub-lola' Total Addlilonlllnll,..t II to be 'oll)puted on the Ibove blllnee 01 unplld unemployment filing Fee(e) ". '.w'I.," 90mp.nllllon eontrlbullonelllhe rtle dele,'mlned by the Beerotlry 01 Revenue Addlllonal ~egill Coele ":Y,:",!\li!LVtl under Becllon 800 ollhe FllCel Code, 7~ P,B OBOO, per month, or Irl,lIon of e Addltlonallnlerlel ' , '!: ',,, month, 'roil) 1 0 I ~ 1/19 9 7 . 8alle'acllon AmOUnt" ,,' .;;;::;(j!W~)lfi' ' ,I .. ...... ,'I'.):.i;" Tilt uMlIIlgnu' OllUlll', BlJ~"U 0' Ir,,,,,IQY.' 11_ op.,.tlo~., O.".rlm.", oIl.tbor .nd IfIlJUIII). ;11111I,.lh,1 In. 'bo~'lJn.~ploym.nl oomp.nUllon IDnl~lijlh~I\"lnl"ltl.". ",,1/lI~., i,'j;.{, ", QUI ,na pIY.blt b~ 1/'1. .bOlll rt.mu .,.I'MU'" llnlJ.' HI' p,O~I,'on. ot th, P''''U~I~'''I' Un.mploym.Ml ComJ).nU,llon 1..1'1 "ullu.nllo 8ltllon '101. I 0111111 I.." .0 ".1 ',.....1,; "1- "'4\ Ill' '~I)'I' cnn\r,611llonl, Inl""l ,na p.".lh.. .It . II." upon In,I""ehl"l "HI prop.rly, 1101)1 ,"1 .na ~"'on.l, UlC;Il,IlJlng .~.' 'CQult.d PlOP''')', of Ih.IbDYI nam.. .".n.IIM~.' l<<~j Il11Ut, In".11) I,om Ih'llal. 01 I"hy of Ihlt Clltlllld CoPy olllll\, , ..1'; i;j~Jj" I, ,.I'f'ti2 Lw!a& . ~ ,\;,I;!i~ LAURA I, RBOHFl . . 10 J 2!i,i~1I!;.,.,;,;;:~, o."'!OI,'.'Il,oIlmpIDy"T".O'''"IID'' '1'0 liE RETAINED IlY RJilCORDING 'OFFICE' ," ,.;: ',m,tu'" ~ ~ · ij i Ji n ~ ~ ~I ,h ii ~ ~ i jn HI ~~ I t ~ E glE ~ b ~, l5 o s ~ s r Iff 6: ~~; b al ~ ~ Ot~~ ~l~ ' ? E /l. l1 t ~l~ /l.1l J~ s ~ ~ ~ ~ ~~ij ~~! ~ JII i ~ ~ ~~ ~ 8 8 ~ j'a Jr 10/l. lli i] d ~.~2.~ l il o ... g j~ f li~ ! ~ 1= i! i~]~ ~ a~ ~ !o ollg bE olif i i "O,~ ~l~~ il~ s i l::l 6 6 r~ 11 5J ~~iJ Un ~I ~df JE!E E, i i to I;; " ~~~ & ~i !~ ~ ~I~ f h ~ I~ ~I~ ' I ~ ~ ' p,; ~pl ~i l!5 ~ ~ I ~ ~I ~ ! ~ II