Loading...
HomeMy WebLinkAbout97-06164 No. tJ 'J~ d,/~ r avll Tlrm tL~~~.~.../~LM.Nil'~ C!iu",'1' VI. ~ ~..r't [ . ~ , Court of common PI,as Cumbo Co. \ , I \ ~ 'i " I , ,[ ~. -.... \ \ ~ ..,.r......... -,:"., ,., f~.'~. .;...,.~. . .....",. ......... ' ,\;'. ..~....L I ,........ ~. UO'7a1 ReV, ',er IN THl! COORT of COMMON PI.l!~S OF cu KJlllRL/l1/ 0 COONTY, Pl!NNSYI.Y~NI~ CJ:RTlF,ep copy OF ""eN TO THl! PROTHONOTMlY OF S~IO OOORTI Purluln' '0 Slollon ~08.1 0' 1/1. P'nnIVlVlnleOn.mploymenl OOmp.nllllo/lI.IW, 4~ p,s" 7S8, I, I~II II I c.I'II/I.d Copy 0' '-I.n 'or unp.ld un.mploym.nloomp.nllllon oOhlrlbullonl, n'e,1I1 end p'n.lIl11 10 ~. 'nl'red 0' r.oo,d by you Ind Inde..el II judgmenls er. Ind.~.d, Pl!NNSYI.VAN,A EMPI.OYER AOOOONTNUM~ERI 21-17942 6 AO Numben :2 7 :2 J 8 6 OTR/VR CON AIBUTION P 10/CREOIT DUE 1-97 WIil 1-97 .00 441.44 . sub.lolel POCl<l!T fI(/? (p/tJ.,q OATI! liNTl!RlIP ,( L~.dl Term tll/'W\)\ IL~(r (ll II F)::)77lt> /'i.tl ')'dfj;)fj OOMMONWl!AI.TH OF PlINNSY'-V~NI~ Ol!PARTMl!NT OF l.A~OR M~P INOUSTRY TO THI! us/! OF TH/! ONEMPI.OYM~NT OOMP/!NBATION FUNO VS. . BALOII AMJlI/lI/Cll IIIC 160 nonny JOl/llB OR lln'ERB P/I 17319 . . I Ihll ltlU....ll ull" III 'L' , B C:QfI'"IUuflfJIl ,. U I UIl ~M~ "~~onr, CE COM/lJIIIJIIOh Pollt) l."H OIIUltlhiOfl IJ Ctt ell .00 441.44 19.86 . ., 0 ~ ~~ ~, , ']V ~ ;r,~l ~r. Iii .' ,~ l" ,h ::l J l'l} '~.,'. r,:l_: ~ .. . "l~ " . ~,.. ': ,I ". .I' to ~ V) ~J' . . .. r..) I~ r~ .', .j:"' rOO .00 19.86 4lil.30 9.00 Addlllonlllntl,..llllo b. cqmpultd on the above bllanc. 01 unplld unlmploym.nl COmplnllllon conlrlbutlonl 11th. ralt d.termln.d by Ih. a.cretary 01 R.v.nu. under 8.cllon SOB 01 th. F11011 Cod.. 72 P.8. . SOB, per month, or lrecllon 01 I monlh,Irom 10/31/1997 . Totel FIling Fee(s) Addltlonel L.gel Cosla Addlllonallnteresl, 6811sf8cllon Amounl .0 TIll UFlClltftlg"ta, Du,elOI, Bur..u ollmploy.t TIM OPtl,lllm" Olp.Mm.,,1 01 Llbor Ino 1"l:Iv.I1)', unlll" thaI lh, .bo~. unlmpIClym,,,1 camp,n'tllon contllbullon,. Inl"IM ano p,naltl" II' du. Ind p'Ylbl' by In. .bov. "amld o.t,nCl.nl unci" ItI. 1>'0',11'0"1 or Ih, P.nn'YI~.nl' Un,mpoymtnl Comll.""llon ~....... Puttu.nllo 8Iello" 301, I 01 ,aid LIWI, ..:s ".1, , "'.1, In. .bO't. conlllbullon',lnl"'" .n4 p.".IIIU JlI lilt" upon In. 'f~nchl'" 1M PIOP'flY, bo'" ,..I .nll pII'onll,1r'lclud1ng ,~'r IcqUlrtO prop,n)', of In. 100'1'1 rla""d o,I,ndlnl 1110 IUlet, 11'1,,.10 ',om Ih, UI. 01 .ntry or tnl, C,nth'd CoPy 01 U,n. ~~ LAURA e, REOHA . ~""o,,8u".uotlmplo1"T"Qp"."onl TO BE RIilTAINllD BY RECORDING OFFICIil 10/27/.,1997 OT! ~ B ~h b I . ~~! , l'3 ~ l'3 i .. j' I~ I P.! J 'iB i ~ ~ j ,\2 j ] ~ ~ I ! g g :II ~i~! t Ij !;f ~ f i ~ h f~U ! ~I. rf li~ ~ ~ ~ ~ ~"~~,~ ~i~ ~ ~ (; .~ If f~ i l,~ g. ~ ~ 8 8 5) !:u un m !! . Ii I,I! Ilil IB' ~ c ;J ~u f .~ u r ~jlf E~~ f~~ ~ ~~ ~! !~ ~ ~I I ~I , Ip ~i~ Ii l'3 ~ ~u ~< ~ ~ - I ~ ~ ! ~ II