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97-06163
I \ I' ." No. Cf 7. t~ I/, J awn T.rm 1I~41'fJ1, ,,~..:I t1~fu.d~ ~r"'; . VI. cdJI~.~74 Atf~ 4ft!". . Court Of ~om",on PI... Cumbo Co. III,' " "I " , I , , ii' ,,.__U' .j~~lI~";"'it-',_,,_., I - .,1 , , '. 'I I ! . I" , I "', 'I ," ." ' \ ~( r I. ,\ ,\ ./ \ i" t , j ,'7"~"" I, ,', , " , ",t,.: IN TH~ OOlJl1T OF oOMMoN ~L~l'a Of OUH/llSlll.MP COUNTY. fl~NNsYLVANI~ . pool<~u(r/-l.JJIU?~ c:.u:J) PI'TI! I!NTI!/lI!P 1'<1 (Y1 UO.,1e "IV, I.gr Ol:J=lT'fll:P COpy Of l.'l:N WI,UD\d\l\.~~ ll~~ f,;)'J1lp I~ ~H)Wi"~ oO,.,,.,ONWI!I'L TH OF p~NNaYLV~ml' OI!PMml!NT OF L!'1l0R MIO INOlJ8TRY TO TH~ USI! Of T~~I! UNI!Mfl'-OYMI!NT 00Mfl~N6ATloN fUNP '. , TO THI! PROTHONOTMlY Of 61'10 OOURTI PlIrlllllnt 10 aeollon "9$,1 0' ,"e Pe/l/llvlvlnll Unem~loYmenl (lomplnllllo/l LIW, 4" P,6,' 7Be, I, I~'I 'I I Oenmed Oopy 0' /..Ien 'or IInpallj ~nlmPIOYmenlllom~.nlllllon oo",r'~u"Onl, ni're.land . enlJlleslo ~e enler'd 0' record ~y yo IInd Jnde.ed I'jlldum'nts arelnde~ed, PI!NNSYLVI'NIA I!MpLOYE/l 1'000lJNT NUMlll!/lI 21-1676 G 8 VI. . (ll~cU l' l~O BTJ;:IlLl~(J RJl:/lLTY ),442 Tlll~PLI.'; Ilc/lP cI\RJ.,IBJ.,~ 1'1\ 17.011 q '-'I (~ l,'., -I 'J . . ... ',' '\'I)i ;::5 . f1}I'! .,.: 11\f ;r,.,;I. I ,,..\, "OJ) ;l~ III- , j")(, r-" 'I ~ " ..I: ,I "':'1"; 'I' q' .1.:Ie... .. ";J &:- ;Jl ~. (,.) ~P ,NlImperl 2723154 ! ' OTIWR .0.0 TAl liON CUE P IC/CAEC r 1-97 W~ ..0.0 ..0.0 1-97 3 B 3. 77 ..00 ~-97 WI.! ..0.0 .00 2-97 141,65 .00 ..0.0 383.77 ..0.0 141.66 3,19 ..0.0 38.38 ..0.0 26..0.0 17.27 , sllP.lolal 5 MdIUonallm"..lleto ~a computed on the eboye bal~nce 0' unpaid un.mployment oompln..llon conlrlbuUone al the ralt determined by the Secretary 0' Rlvenue urder Secllon a08 0' the Fleoal Cod., 72 P.G. I e08, per month, or ',ecllon 01 a month, "om 1.0 I n/1997 . TOlal Filing Fee(e) Addlllonal Legal Coata Addlllonallnlereel Sallefaollon Amounl II I I Tht unllt/,ID"'d, OlltcIO,,!tij'''1J or ImplD~1I T.~ Opt, IUD"" O,p'''""nl 01 LIDot and In'MIIY, ctltlhUlhlllh. .bow,vn.mPloym."" CDmp."..lIon conh\~\Itlonl, I/'Il'lft! and p,nalll.. It. clu. tnd plyablt ~~ In. .bo~. M,ml" ",.I,nnnl UMIat Ih. plOYlIlonl 0/ lh. P.nn.yl~lnl.lJn.mploy'".nl Comp,",.'lon Law, PUflVI"IIO I~cllon 00'_ \ tit ,aid Law) It!) P,IS. . 711, I) lh. HOy' co"lri~ullDn., I"l"ut and plnalll,. .', ,II,,, upon Ih, ',Inchln. and PICP.lty, bolh 11,1 ling plllonal, 1",llIdll'lg ,hi' 'CQulrt" prop'rly. 0/ 11'1. abO'1' ,1I.ml" GI"nd~1 tno , ,,"Ieh Ihll.lo "om lh. d.ll 01 tnlry 0111111 C.l\lfll4 QoPy 01 U.n, I ~~ LAURA E, AEOHR ' 1)"",,,Bu"lU.'lm~.1"T..O."'''Qn' TO BE llETI\INED IlY RECORPING OFFICE 10/27f,1997 C rE - ",", ... o~ 9!~ ~l:SI II I E E8 I~~ ~ t1!f ~ II i ~ ~~ ~ f9~ 119 I E ~j~.. b ! 15 ~ ~ Ii ~~i ~ ] '~~ J ! ~ ~ ~,~ E,~~~ g. ~il ~ i~ ~~j~ .~ ~~ i ~o ~"Oil2 ~ 'bE "O~ lff~ ; '~9 51 !~n ! II I~ iiaj iI~ll' EJ !5~~ r~, ;, ~~if J~:E , I i 15i 4( , ~~ !~ ~ Ih ~ 15 F. ~ I ~ I ~ , , jj I . II l; ~~ l I M b ~ ~ ~ ~. f' i~~ $1 L ~filt:: 9 E ~ p f"'~1 ~ 6 ~ E l~ i ~ 9 9 !Oo. lli ~ ~ ~~f !i~ ~ ~ ' ~ ~~~ ~ ~ ~I~ 8 6 .(bG ! i mb ~ ~ i~ ~ h I:~ i i f~G ~ ~i ~i ~I~ 15 ~ ~il 118 I